Garry R Kolb, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G27845 Issued in CA

Practice address

695 Morro Ave
Morro Bay, CA 93442

Phone

(805) 772-2707

Fax

(805) 772-0624

NPI assigned

Aug 25, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393459200000",
    "number": "1992813539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "695 MORRO AVE",
            "city": "MORRO BAY",
            "state": "CA",
            "postal_code": "934422233",
            "telephone_number": "805-772-2707",
            "fax_number": "805-772-0624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "695 MORRO AVE",
            "city": "MORRO BAY",
            "state": "CA",
            "postal_code": "93442",
            "telephone_number": "805-772-2707",
            "fax_number": "805-772-0624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLB",
        "first_name": "GARRY",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2014-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G27845",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G27845",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cameron Jung-Fagan, MS, RD
• Stephen Kerr, PT
• Sarah Nicole Kessner, MS, RDN
• Michelle Marie Kilcoyne, LCSW
• Marshall King
• Kathleen Maryanne Kralik
• Haley Kubinak, PT
• Priyanka Kumar, PT
• Ruth B. Lapp, MS
• Zachary J Lepard

• Internal Medicine Physician in Morro Bay, CA
• Providers in Morro Bay, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.