Active NPI
Michael Charles Garovich, MD
- Body Imaging Physician
- Mount Pleasant, SC
National Provider Identifier
1558370353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Body Imaging Physician
- License
- ME13335
- Practice address
- 1241 Woodland Avenue
Mount Pleasant, SC 29464 - Phone
- (843) 824-0606
- Fax
- (843) 824-0909
- NPI assigned
- Aug 8, 2006
- Last updated
- Jun 26, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Body Imaging Physician | 2085B0100X | ME13335 | SC | Primary |
| Nuclear Radiology Physician | 2085N0904X | ME13335 | SC | |
| Pediatric Radiology Physician | 2085P0229X | ME13335 | SC | |
| Diagnostic Radiology Physician | 2085R0202X | ME13335 | SC | |
| Vascular & Interventional Radiology Physician | 2085R0204X | ME13335 | SC | |
| Diagnostic Ultrasound Physician | 2085U0001X | ME13335 | SC |
Addresses
Primary practice location
1241 Woodland Avenue
Mount Pleasant, SC 29464
Mailing address
1241 Woodland Avenue
Mount Pleasant, SC 29464
Phone (843) 824-0606
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 133359 | Medicaid | SC | |
| 300010640 | Other | MEDICARE RR | |
| 8683 | Other | SC | MEDICARE GROUP |
| 61382 | Other | FIRST HEALTH | |
| 1709 | Other | SC | MEDICARE GROUP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME13335 | SC | MD | Vascular & Interventional Radiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214438400000",
"number": "1558370353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1241 WOODLAND AVENUE",
"city": "MOUNT PLEASANT",
"state": "SC",
"postal_code": "29464",
"telephone_number": "843-824-0606",
"fax_number": "843-824-0909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1241 WOODLAND AVENUE",
"city": "MOUNT PLEASANT",
"state": "SC",
"postal_code": "29464",
"telephone_number": "843-824-0606",
"fax_number": "843-824-0909"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAROVICH",
"first_name": "MICHAEL",
"middle_name": "CHARLES",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-08",
"last_updated": "2008-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "2085B0100X",
"taxonomy_group": "",
"desc": "Radiology, Body Imaging",
"state": "SC",
"license": "ME13335",
"primary": true
},
{
"code": "2085N0904X",
"taxonomy_group": "",
"desc": "Radiology, Nuclear Radiology",
"state": "SC",
"license": "ME13335",
"primary": false
},
{
"code": "2085P0229X",
"taxonomy_group": "",
"desc": "Radiology, Pediatric Radiology",
"state": "SC",
"license": "ME13335",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "SC",
"license": "ME13335",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "SC",
"license": "ME13335",
"primary": false
},
{
"code": "2085U0001X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Ultrasound",
"state": "SC",
"license": "ME13335",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "133359",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR",
"identifier": "300010640",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP",
"identifier": "8683",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "61382",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP",
"identifier": "1709",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mount Pleasant, SC
- Alison Rose Gardella, WHNP
- Jeffrey Jerome Gardner, D.M.D., P.A.
- Roberta Zeigler Gardner, DMD, MS
- Emily Beatty Gargis, MS, RDN, LD
- Jessica Marie Garnett, PT, DPT
- Allyson Harrell Garrison, PA
- Gabriela Samantha Garshelis, APRN, APMH-NP
- Justin Michael Garzone, D.O.
- Jessica Lauren Gaskins, PHARMD
- Juliette Gassert, AU.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.