Garrison Plastic Surgery, LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

36789 Issued in MO

Legal business name

GARRISON PLASTIC SURGERY, LLC

Practice address

1530 E. Bradford Parkway
Springfield, MO 65804

Phone

(417) 877-0630

NPI assigned

Apr 9, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Carla Garrison Kester, M.D

Title

Owner/Physician

Phone

(417) 877-0630

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1239235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239580800000",
    "number": "1811130602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 E. BRADFORD PARKWAY",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "65804",
            "telephone_number": "417-877-0630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 E. BRADFORD PARKWAY",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "65804",
            "telephone_number": "417-877-0630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARRISON PLASTIC SURGERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-09",
        "last_updated": "2009-04-13",
        "status": "A",
        "authorized_official_last_name": "KESTER",
        "authorized_official_first_name": "CARLA",
        "authorized_official_middle_name": "GARRISON",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "417-877-0630",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "MO",
            "license": "36789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Brian Garner, MD
• Robert Thomas Garner, M.D.
• Morgan Kelsey Garoutte
• Connie J Garrett, RD
• Filip John Garrett, MD
• Carla Garrison, M.D.
• Sara Garrison, FNP-C
• Taylor S Garrison, ACNPC-AG
• Sarah Garrott, NP
• Danny Lee Garton, FNP

• Medical Specialty Clinic/Center in Springfield, MO
• Providers in Springfield, MO by specialty
• Medical Specialty Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2009; 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.