Mark Garzon, M.D.

Primary specialty

Phlebology PhysicianTaxonomy code 202K00000X

License

0101243799 Issued in VA

Practice address

1910 Towne Centre Blvd
Suite 210
Annapolis, MD 21401-3598

Phone

(410) 571-8525

Fax

(410) 571-8526

NPI assigned

Apr 11, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: mgarzon164682@direct.aahs.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• USA Vein Clinics of Chantilly LLC

  • Vascular Surgery Physician
  • Chantilly, VA
  • NPI 1124670930
  NPD (past)

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644278400000",
    "number": "1710100474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 SPRING RD STE 300",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605233944",
            "telephone_number": "630-725-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 TOWNE CENTRE BLVD",
            "address_2": "SUITE 210",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013598",
            "telephone_number": "410-571-8525",
            "fax_number": "410-571-8526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARZON",
        "first_name": "MARK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-11",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DC",
            "license": "MD32949",
            "primary": false
        },
        {
            "code": "202K00000X",
            "taxonomy_group": "",
            "desc": "Phlebology",
            "state": "VA",
            "license": "0101243799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela P. Garland, B.S. P.T.
• Kelly Garner, CRNP
• Erika Garrett
• Jeanne Gayle Garrett, LGPC
• Demaris A. Garris Brown
• Shontel Gaskin, LCSW-C
• Jamie Gass, PT, DPT
• Michael John Gatz, DDS
• Andrea Gault, DO
• Gretchen Gauthier, ADT

• Phlebology Physician in Annapolis, MD
• Providers in Annapolis, MD by specialty
• Phlebology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; 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.