Active NPI
John D McGarry, M.D.
- Neurology Physician
- Festus, MO
National Provider Identifier
1639174659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 35835
- Practice address
- 168 Industrial Dr
Medical Village Annex Building
Festus, MO 63028-4133 - Phone
- (636) 937-0005
- Fax
- (636) 933-9494
- NPI assigned
- Jun 16, 2005
- Last updated
- Feb 5, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Spinal Cord Injury Medicine Physician | 2081P0004X | 35835 | MO | |
| Neurology Physician | 2084N0400X | 35835 | MO | Primary |
Addresses
Primary practice location
168 Industrial Dr
Medical Village Annex Building
Festus, MO 63028-4133
Mailing address
P O Box 470
Crystal City, MO 63019-0470
Phone (636) 937-0005
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0500010 | Other | MO | UNITED HEALTHCARE |
| 130001044 | Other | MO | RAILROAD MEDICARE |
| 200427128 | Medicaid | MO | |
| 4311996 | Other | MO | AETNA |
| 116562 | Other | MO | HEALTHLINK |
| 3008 | Other | MO | BLUE SHIELD |
Other names 1
- John D McGarry
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neurosurgical Specialists of West County Inc | Past | Accepting new patients | |
| Raymond a. Brickhouse DPM LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Specialist
- Saint Louis, MO
- NPI 1447438254
-
- Durable Medical Equipment & Medical Supplies
- Festus, MO
- NPI 1780432229
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391558400000",
"number": "1639174659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P O BOX 470",
"city": "CRYSTAL CITY",
"state": "MO",
"postal_code": "630190470",
"telephone_number": "636-937-0005",
"fax_number": "636-933-9494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "168 INDUSTRIAL DR",
"address_2": "MEDICAL VILLAGE ANNEX BUILDING",
"city": "FESTUS",
"state": "MO",
"postal_code": "630284133",
"telephone_number": "636-937-0005",
"fax_number": "636-933-9494"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGARRY",
"first_name": "JOHN",
"middle_name": "D",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-16",
"last_updated": "2014-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "2081P0004X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine",
"state": "MO",
"license": "35835",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MO",
"license": "35835",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "0500010",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "130001044",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200427128",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4311996",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK",
"identifier": "116562",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "3008",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JOHN",
"last_name": "MCGARRY",
"middle_name": "D",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Festus, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.