Charles O Garrison, MD

Primary specialty

Undersea and Hyperbaric Medicine (Emergency Medicine) PhysicianTaxonomy code 207PE0005X

License

M3488 Issued in ID

Practice address

1125 W Alameda Rd
Pocatello, ID 83201-6143

Phone

(208) 237-1151

Fax

(208) 237-9721

NPI assigned

Jul 14, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Idaho Hyperbarics Inc

  • Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
  • Pocatello, ID
  • NPI 1386642494

  Undersea and Hyperbaric Medicine

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184284800000",
    "number": "1366441156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 W ALAMEDA RD",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832016143",
            "telephone_number": "208-237-1151",
            "fax_number": "208-237-9721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 W ALAMEDA RD",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832016143",
            "telephone_number": "208-237-1151",
            "fax_number": "208-237-9721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRISON",
        "first_name": "CHARLES",
        "middle_name": "O",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-14",
        "last_updated": "2007-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0005X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Undersea and Hyperbaric Medicine",
            "state": "ID",
            "license": "M3488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayce N Gardner, PA-C
• Adam Garfield, P.A.
• Terraka Garner, LMSW
• Brittany Garrett, DPT
• Jennifer Lane Garrett
• Gate City Physical Therapy
• Gateway Counseling Incorporated
• Gateway Counseling, Inc
• Gateway Counseling, Inc
• Sarah Marie Gaudet, OTL

• All providers in Pocatello, ID
• Undersea and Hyperbaric Medicine (Emergency Medicine) Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.