Garg Pediatrics LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

01058382A Issued in IN

Legal business name

GARG PEDIATRICS LLC

Practice address

215 S Hutchinson Ave
Muncie, IN 47303-4774

Phone

(765) 716-4995

NPI assigned

Apr 13, 2015

Organization subpart

No

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

Authorized official

Name

Sanjay Garg, M.D.

Title

Owner

Phone

(765) 716-4995

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1428883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428883200000",
    "number": "1972999381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7209 W AUGUSTA BLVD",
            "city": "YORKTOWN",
            "state": "IN",
            "postal_code": "473969351",
            "telephone_number": "765-716-4995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 S HUTCHINSON AVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473034774",
            "telephone_number": "765-716-4995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARG PEDIATRICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-13",
        "last_updated": "2015-04-13",
        "status": "A",
        "authorized_official_last_name": "GARG",
        "authorized_official_first_name": "SANJAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "765-716-4995",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "IN",
            "license": "01058382A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200465710",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200465180",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Muralidhar Ganji, MSPT
• Ana Garcia, LSW
• Jeremy Scott Gard, O.D.
• Thomas Kelsey Gardiner, M.D.
• Michelle Ann Gardner
• Debra A Garner, CNP
• Gary James Garofolo, LCSW
• Andrew Garrett, DO
• Kenneth Garrett, DDS
• Krista Garrett, LMSW

• Pediatrics Physician in Muncie, IN
• Providers in Muncie, IN by specialty
• Pediatrics Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2015; 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.