Active NPI
Curtis Garrison, D.O.
- Family Medicine Physician
- Conneautville, PA
National Provider Identifier
1689974149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OT013302
- Practice address
- 906 Washington St
PO Box E
Conneautville, PA 16406-7138 - Phone
- (814) 373-2276
- Fax
- (814) 587-2918
- NPI assigned
- Oct 29, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OT013302 | PA | Primary |
Addresses
Primary practice location
906 Washington St
PO Box E
Conneautville, PA 16406-7138
Mailing address
906 Washington St
PO Box E
Conneautville, PA 16406-7138
Phone (814) 373-2276
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 Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT013302 | PA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288310400000",
"number": "1689974149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "906 WASHINGTON ST",
"address_2": "PO BOX E",
"city": "CONNEAUTVILLE",
"state": "PA",
"postal_code": "164067138",
"telephone_number": "814-373-2276",
"fax_number": "814-587-2918"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "906 WASHINGTON ST",
"address_2": "PO BOX E",
"city": "CONNEAUTVILLE",
"state": "PA",
"postal_code": "164067138",
"telephone_number": "814-373-2276",
"fax_number": "814-587-2918"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARRISON",
"first_name": "CURTIS",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-10-29",
"last_updated": "2010-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "OT013302",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Conneautville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.