Garrett Medical Group, PA
Family Medicine in Oakland, MD. Organization (NPI-2).
NPI number1487751608
StatusActive
Last updated in NPPESOct 15, 2007
Details
- NPI
- 1487751608
- Entity type
- Organization (NPI-2)
- Legal business name
- Garrett Medical Group, PA
- Organization subpart
- No
- Enumeration date
- Sep 20, 2006
- Last updated
- Oct 15, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Practice location
311 N 4th StOakland, MD 21550-1395
Phone 301-334-8171 · Fax 301-334-1807
Mailing address
311 N 4th StOakland, MD 21550-1395
Phone 301-334-8171 · Fax 301-334-1807
Authorized official
Robert C Boone
Administrator
3013348171
Is something wrong?
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