Organization Active NPI

Anesia K. Garmon, DO PA

  • Family Medicine Physician
  • Weatherford, TX
National Provider Identifier
1689955767
Registry record updated Sep 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E3278 Issued in TX
Legal business name
ANESIA K. GARMON, DO PA
Practice address
902 Foster LN
Weatherford, TX 76086-5714
Phone
(817) 341-7626
Fax
(817) 596-9771
NPI assigned
Sep 2, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2011

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

Authorized official

Name
Mrs. Anesia Khvoroff Garmon, DO
Title
President
Phone
(817) 341-7626

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X E3278 TX Primary

Addresses

Primary practice location

902 Foster LN
Weatherford, TX 76086-5714

Mailing address

902 Foster LN
Weatherford, TX 76086-5714
Phone (817) 341-7626

Other identifiers 1

IdentifierTypeStateIssuer
033831101MedicaidTX

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1314921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314921600000",
    "number": "1689955767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 FOSTER LN",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760865714",
            "telephone_number": "817-341-7626",
            "fax_number": "817-596-9771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 FOSTER LN",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760865714",
            "telephone_number": "817-341-7626",
            "fax_number": "817-596-9771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANESIA K. GARMON, DO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-02",
        "last_updated": "2011-09-02",
        "status": "A",
        "authorized_official_last_name": "GARMON",
        "authorized_official_first_name": "ANESIA",
        "authorized_official_middle_name": "KHVOROFF",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-341-7626",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "E3278",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "033831101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Weatherford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2011; 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.