Jared Garlick, MD

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

9529258-1205 Issued in UT

Practice address

11762 S State St Ste 345
Draper, UT 84020-7173

Phone

(801) 932-8736

NPI assigned

Apr 18, 2014

Last updated

Jun 5, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Garlick Plastic Surgery PLLC

  dba Modern Contour Plastic Surgery

  • Plastic Surgery Physician
  • Draper, UT
  • NPI 1104710953
  NPD Authorized official

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

{
    "created_epoch": "1397779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749081600000",
    "number": "1730509613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11762 S STATE ST STE 345",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840207173",
            "telephone_number": "801-932-8736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11762 S STATE ST STE 345",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840207173",
            "telephone_number": "801-932-8736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARLICK",
        "first_name": "JARED",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-18",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "UT",
            "license": "9529258-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard M Garden, MD
• Cynthia Gardner
• Joseph Arch Gardner
• Shelby Gardner
• Garlick Plastic Surgery PLLC (Modern Contour Plastic Surgery)
• Gateway Academy LLC Draper
• Gateway Academy, LLC
• Gathering Ground Therapy PLLC
• Todd Gay, PA-C
• Sharifa Jamila Gayle, DPT

• Plastic Surgery Physician in Draper, UT
• Providers in Draper, UT by specialty
• Plastic Surgery Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.