Garrett Surgical Group, P.a.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

D47925 Issued in MD

Legal business name

GARRETT SURGICAL GROUP, P.A.

Practice address

255 N 4TH St Ste 2
Oakland, MD 21550-1340

Phone

(301) 334-8282

Fax

(301) 334-8468

NPI assigned

Mar 1, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Charles A. Walch, MD

Title

President

Phone

(301) 334-8282

Specialties & licenses 1

Addresses

Other identifiers 10

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581292800000",
    "number": "1811025653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 N 4TH ST STE 2",
            "city": "OAKLAND",
            "state": "MD",
            "postal_code": "215501340",
            "telephone_number": "301-334-8282",
            "fax_number": "301-334-8468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 N 4TH ST STE 2",
            "city": "OAKLAND",
            "state": "MD",
            "postal_code": "215501340",
            "telephone_number": "301-334-8282",
            "fax_number": "301-334-8468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARRETT SURGICAL GROUP, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2020-02-10",
        "certification_date": "2020-02-10",
        "status": "A",
        "authorized_official_last_name": "WALCH",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-334-8282",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MD",
            "license": "D47925",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE",
            "identifier": "S3300000",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "022248500",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "205900200",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "413716",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIGON BCBS",
            "identifier": "330396",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MWA",
            "identifier": "1395892",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "H814GA",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLACK LUNG",
            "identifier": "260066",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELFARE",
            "identifier": "0499579",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS",
            "identifier": "H814GA",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Garrett Medical Group, PA
• Garrett Medical Transport, Inc.
• Garrett Orthopedic Physical Therapy & Rehabilitation LLC
• Garrett Orthopedic Physical Therapy & Rehabilitation, LLC
• Garrett Rehab Services, LLC
• Garrett Treatment Center, LLC
• Tigist Admas Gelaw, BCBA
• Albert William Getty, D.D.S.
• Elsie Godwin, CRNA
• Amanda Golub, PHARM. D.

• Clinic/Center in Oakland, MD
• Providers in Oakland, MD by specialty
• Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2020; 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.