Individual provider Active NPI

Henry Fernando Garazo, MD

  • Plastic Surgery Physician
  • Hagerstown, MD
National Provider Identifier
1558359653
Registry record updated Jan 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
D0052231 Issued in MD
Practice address
1140 Conrad CT
Hagerstown, MD 21740-5905
Phone
(301) 791-1800
Fax
(301) 791-9253
NPI assigned
Oct 12, 2005
Last updated
Jan 16, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X D0052231 MD Primary

Addresses

Primary practice location

1140 Conrad CT
Hagerstown, MD 21740-5905

Mailing address

1140 Conrad CT
Hagerstown, MD 21740-5905
Phone (301) 791-1800

Other identifiers 1

IdentifierTypeStateIssuer
057037QHMOtherPAMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110511000623 MD Practitioner - Plastic and Reconstructive Surgery 1153387824 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Jefferson Medical College of Thomas Jefferson University, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1140 Conrad CT
Hagerstown, MD 21740-5905
Phone (301) 791-1800

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision92
Removal of tissue12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0052231MDMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Galleria Surgery Center LLC Current Accepting new patients
Plastic Surgery Services CurrentSince Jan 1, 1989 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1140 Conrad Ct
Hagerstown, MD 21740
Phone (301) 791-1800

1140 Conrad Ct
#B
Hagerstown, MD 21740

757 Norland Ave
Ste 104
Chambersburg, PA 17201
Phone (717) 217-6788

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200441600000",
    "number": "1558359653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 CONRAD CT",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217405905",
            "telephone_number": "301-791-1800",
            "fax_number": "301-791-9253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 CONRAD CT",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217405905",
            "telephone_number": "301-791-1800",
            "fax_number": "301-791-9253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARAZO",
        "first_name": "HENRY",
        "middle_name": "FERNANDO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-12",
        "last_updated": "2008-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "MD",
            "license": "D0052231",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "057037QHM",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

Verify at the official NPI Registry.