Individual provider Active NPI

John Garan Jr.

  • Podiatrist
  • Weirton, WV
National Provider Identifier
1497848725
Registry record updated May 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
00178 Issued in WV
Practice address
3600 Pennsylvania Ave
Weirton, WV 26062-4029
Phone
(304) 723-2510
Fax
(304) 723-2542
NPI assigned
Sep 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 00178 WV Primary

Addresses

Primary practice location

3600 Pennsylvania Ave
Weirton, WV 26062-4029

Mailing address

3600 Pennsylvania Ave
Weirton, WV 26062-4029
Phone (304) 723-2510

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130227000238 WV Practitioner - Podiatry 7911152863 Practice locations: Weirton, WV

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3600 Pennsylvania Ave
Weirton, WV 26062-4029
Phone (304) 723-2510

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions11
Removal of nail tissue794
Removal or shaving of skin growth291

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
178WVMDChiropractor
00178WVMDPodiatrist

Interoperability endpoints

  • Direct secure messaging: johngaranjr@jgjd-wv.direct.office.nextgen.com
  • Direct secure messaging: jgaran642852@direct.wvuhsdirect.com

NPI Registry JSON

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

{
    "created_epoch": "1159574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304985600000",
    "number": "1497848725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 PENNSYLVANIA AVE",
            "city": "WEIRTON",
            "state": "WV",
            "postal_code": "260624029",
            "telephone_number": "304-723-2510",
            "fax_number": "304-723-2542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 PENNSYLVANIA AVE",
            "city": "WEIRTON",
            "state": "WV",
            "postal_code": "260624029",
            "telephone_number": "304-723-2510",
            "fax_number": "304-723-2542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARAN",
        "first_name": "JOHN",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-30",
        "last_updated": "2011-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "WV",
            "license": "00178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weirton, WV

Sources for this page

Verify at the official NPI Registry.