Carly Ann Garvin, DO
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Penn Wynne, PA
NPI 1992595730 · NPPES record last updated May 6, 2025
Key facts
- NPI
- 1992595730
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 100 E Lancaster Ave
Penn Wynne, PA 19096-3450 - Phone
- (484) 476-2000
- NPI assigned
- May 6, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250604001687 | PA | Order and Referring Only - Ophthalmology |
4183133739 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | PA | Yes |
Addresses
Primary practice location
100 E Lancaster Ave
Penn Wynne, PA 19096-3450
Mailing address
1101 Oakmont Dr
Lancaster, PA 17601-5075
Phone (717) 475-9261
Other providers in Penn Wynne, PA
- Jennifer K Conn
- Jake Defonzo
- Ashley S Foye
- Rosemary Galante
- Jeanette Giovanetti
- Danielle Katz
- Yasuhiko Kawaguchi
- Matthew N Klein
- Bridget Patricia McNierney
All providers in Penn Wynne, PA · Student in an Organized Health Care Education/Training Program in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 6, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.