Individual provider Active NPI

Ronald S Garlikov, M.D.

  • General Practice Physician
  • Phoenix, AZ
National Provider Identifier
1629224795
Registry record updated Aug 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
7457 Issued in AZ
Practice address
13225 N 14TH St
Phoenix, AZ 85022-4918
Phone
(602) 978-1666
Fax
(602) 595-7380
NPI assigned
Aug 8, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 7457 AZ
General Practice Physician 208D00000X 7457 AZ Primary

Addresses

Primary practice location

13225 N 14TH St
Phoenix, AZ 85022-4918

Mailing address

13225 N 14TH St
Phoenix, AZ 85022-4918
Phone (602) 978-1666

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)
Not enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1218153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218153600000",
    "number": "1629224795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13225 N 14TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850224918",
            "telephone_number": "602-978-1666",
            "fax_number": "602-595-7380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13225 N 14TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850224918",
            "telephone_number": "602-978-1666",
            "fax_number": "602-595-7380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARLIKOV",
        "first_name": "RONALD",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-08",
        "last_updated": "2008-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AZ",
            "license": "7457",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "AZ",
            "license": "7457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.

Verify at the official NPI Registry.