NPIMap

Organization Active NPI

J. L. Garred, Sr., M.D.P.C.

  • Family Medicine Physician
  • Whiting, IA
National Provider Identifier
1669692380
Registry record updated May 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
J. L. GARRED, SR., M.D.P.C.
Practice address
153 Blair St
Whiting, IA 51063-1007
Phone
(712) 455-2431
Fax
(712) 455-2698
NPI assigned
Apr 26, 2007
Last updated
May 21, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2008

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

Authorized official

Name
Dr. John L Garred Sr., M.D.
Title
President
Phone
(712) 455-2431

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NU
Family Medicine Physician 207Q00000X NU Primary
Surgery Physician 208600000X NU

Addresses

Primary practice location

153 Blair St
Whiting, IA 51063-1007

Mailing address

153 Blair St
PO Box 289
Whiting, IA 51063-1007
Phone (712) 455-2431

Other identifiers 1

IdentifierTypeStateIssuer
CP8181OtherRAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

153 Blair St
#289
Whiting, IA 51063

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211328000000",
    "number": "1669692380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 BLAIR ST",
            "address_2": "PO BOX 289",
            "city": "WHITING",
            "state": "IA",
            "postal_code": "510631007",
            "telephone_number": "712-455-2431",
            "fax_number": "712-455-2698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 BLAIR ST",
            "city": "WHITING",
            "state": "IA",
            "postal_code": "510631007",
            "telephone_number": "712-455-2431",
            "fax_number": "712-455-2698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. L. GARRED, SR., M.D.P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2008-05-21",
        "status": "A",
        "authorized_official_last_name": "GARRED",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "712-455-2431",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CP8181",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Whiting, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.