Organization Active NPI

Garrett Surgical Group, P.a.

  • Clinic/Center
  • Oakland, MD
National Provider Identifier
1811025653
Registry record updated Feb 10, 2020
On this page

Key facts

NPPES NPI Registry
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
Last updated
Feb 10, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2020

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

Authorized official

Name
Dr. Charles A. Walch, MDNPI 1396845384
Title
President
Phone
(301) 334-8282

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X D47925 MD Primary

Addresses

Primary practice location

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

Mailing address

255 N 4TH St Ste 2
Oakland, MD 21550-1340
Phone (301) 334-8282

National Provider Directory

National Provider Directory

Locations

311 N 4th St
Ste 4
Oakland, MD 21550
Phone (301) 533-2940

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, MD

Sources for this page

  • 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.