Active NPI
Belinda Gail Garzarek, CRNA
- Certified Registered Nurse Anesthetist
- Dothan, AL
National Provider Identifier
1629039458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 1062944
- Practice address
- 4370 W Main Street
Dothan, AL 36305 - Phone
- (334) 793-5000
- Fax
- (334) 615-8419
- NPI assigned
- Mar 31, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 1062944 | AL | Primary |
Addresses
Primary practice location
4370 W Main Street
Dothan, AL 36305
Mailing address
PO Box 6907
Dothan, AL 36302
Phone (334) 793-5000
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01974301 | Medicaid | MS | |
| 51515735 | Other | AL | BLUE CROSS BLUE SHIELD |
| 1771376 | Medicaid | LA | |
| 2000655 | Other | UNITED HEALTHCARE | |
| P00109166 | Other | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1062944 | AL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dothan Anesthesiology Associates PC | Current | Accepting new patients | |
| Gut PC | Current | Accepting new patients | |
| Gut PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
4370 W Main St
Dothan, AL 36305
Phone (256) 332-1611
480 Honeysuckle Rd
Dothan, AL 36305
Phone (334) 792-6933
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 and National Provider Directory roles.
-
- Anesthesiology Physician
- Dothan, AL
- NPI 1013997857
-
- Gastroenterology Physician
- Dothan, AL
- NPI 1073566006
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1629039458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6907",
"city": "DOTHAN",
"state": "AL",
"postal_code": "36302",
"telephone_number": "334-793-5000",
"fax_number": "334-615-8419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4370 W MAIN STREET",
"city": "DOTHAN",
"state": "AL",
"postal_code": "36305",
"telephone_number": "334-793-5000",
"fax_number": "334-615-8419"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARZAREK",
"first_name": "BELINDA",
"middle_name": "GAIL",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "AL",
"license": "1062944",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01974301",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "51515735",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1771376",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "2000655",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00109166",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dothan, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.