Active NPI
Anesia K. Garmon, DO PA
- Family Medicine Physician
- Weatherford, TX
National Provider Identifier
1689955767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- E3278
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 033831101 | Medicaid | TX |
National Provider Directory
National Provider DirectoryNPI 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.