Individual provider Active NPI

Geri Lynn Garlo, PA

  • Medical Physician Assistant
  • Sterling Heights, MI
National Provider Identifier
1871090308
Registry record updated Apr 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
5601001974 Issued in MI
Practice address
35200 Dequindre Rd Ste 600
Sterling Heights, MI 48310-4841
Phone
(248) 844-0315
NPI assigned
Apr 11, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 5601001974 MI Primary

Addresses

Primary practice location

35200 Dequindre Rd Ste 600
Sterling Heights, MI 48310-4841

Mailing address

13345 Hawk Dr
Shelby Township, MI 48315-1389
Phone (586) 634-9567

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210121002902 MI Order and Referring Only - Physician Assistant 2466447420

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5601001974MIMDMedical Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1523404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523404800000",
    "number": "1871090308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13345 HAWK DR",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483151389",
            "telephone_number": "586-634-9567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35200 DEQUINDRE RD STE 600",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483104841",
            "telephone_number": "248-844-0315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARLO",
        "first_name": "GERI",
        "middle_name": "LYNN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-11",
        "last_updated": "2018-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "5601001974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

Verify at the official NPI Registry.