Active NPI
Daniel Wayne Garland, MD
- Anatomic Pathology & Clinical Pathology Physician
- Suffolk, VA
National Provider Identifier
1669461182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 0101038825
- Practice address
- 2800 Godwin Blvd
Sentara Obici Hospital Pathology Dept
Suffolk, VA 23434-8038 - Phone
- (757) 934-4000
- NPI assigned
- Oct 18, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cytopathology Physician | 207ZC0500X | 0101038825 | VA | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 0101038825 | VA | Primary |
Addresses
Primary practice location
2800 Godwin Blvd
Sentara Obici Hospital Pathology Dept
Suffolk, VA 23434-8038
Mailing address
PO Box 20452
PSMG - Cred
Columbus, OH 43220-0452
Phone (614) 442-2406
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00878575 | Other | VA | RR MCR |
| 139283 | Other | VA | ANTHEM-VA |
| 6906497 | Medicaid | NC | |
| 1669461182 | Medicaid | VA |
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 |
|---|---|---|---|
| 0101038825 | VA | MD | Cytopathology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402012800000",
"number": "1669461182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 20452",
"address_2": "PSMG - CRED",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432200452",
"telephone_number": "614-442-2406",
"fax_number": "614-442-2410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2800 GODWIN BLVD",
"address_2": "SENTARA OBICI HOSPITAL PATHOLOGY DEPT",
"city": "SUFFOLK",
"state": "VA",
"postal_code": "234348038",
"telephone_number": "757-934-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARLAND",
"first_name": "DANIEL",
"middle_name": "WAYNE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-18",
"last_updated": "2014-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "207ZC0500X",
"taxonomy_group": "",
"desc": "Pathology, Cytopathology",
"state": "VA",
"license": "0101038825",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "VA",
"license": "0101038825",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MCR",
"identifier": "P00878575",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM-VA",
"identifier": "139283",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6906497",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1669461182",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Suffolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.