Active NPI
Gregory Allen Garth, MD
- Plastic Surgery within the Head & Neck (Otolaryngology) Physician
- Boone, NC
National Provider Identifier
1891958229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery within the Head & Neck (Otolaryngology) Physician
- License
- 200300154
- Practice address
- 895 State Farm Road
Suite 301
Boone, NC 28607-4917 - Phone
- (828) 265-4045
- NPI assigned
- Jul 7, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery within the Head & Neck (Otolaryngology) Physician | 207YX0007X | 200300154 | NC | Primary |
Addresses
Primary practice location
895 State Farm Road
Suite 301
Boone, NC 28607-4917
Mailing address
895 State Farm Road Suite #301
Boone Regional Ear Nose & Throat Associates PLLC
Boone, NC 28607-4917
Phone (828) 265-4045
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89133C6 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200300154 | NC | MD | Plastic Surgery within the Head & Neck (Otolaryngology) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215388800000",
"number": "1891958229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "895 STATE FARM ROAD SUITE #301",
"address_2": "BOONE REGIONAL EAR NOSE & THROAT ASSOCIATES PLLC",
"city": "BOONE",
"state": "NC",
"postal_code": "286074917",
"telephone_number": "828-265-4045",
"fax_number": "828-262-0960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "895 STATE FARM ROAD",
"address_2": "SUITE 301",
"city": "BOONE",
"state": "NC",
"postal_code": "286074917",
"telephone_number": "828-265-4045"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARTH",
"first_name": "GREGORY",
"middle_name": "ALLEN",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-07",
"last_updated": "2008-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "207YX0007X",
"taxonomy_group": "",
"desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
"state": "NC",
"license": "200300154",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89133C6",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boone, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.