| Garrison Medical Consultants Pllc | |
|
2440 W Horizon Ridge Pkwy Ste 130 Henderson NV 89052-2731 | |
| (702) 881-8191 | |
| Not Available |
| Full Name | Garrison Medical Consultants Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2440 W Horizon Ridge Pkwy Ste 130, Henderson, Nevada |
| Authorized Official Name and Position | John Allen Garrison (MANAGING MEMBER) |
| Authorized Official Contact | 7028818191 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Garrison Medical Consultants Pllc 2440 W Horizon Ridge Pkwy Ste 130 Henderson NV 89052-2731 Ph: (702) 881-8191 | Garrison Medical Consultants Pllc 2440 W Horizon Ridge Pkwy Ste 130 Henderson NV 89052-2731 Ph: (702) 881-8191 |
| NPI Number | 1912534348 |
|---|---|
| Provider Enumeration Date | 03/25/2020 |
| Last Update Date | 08/30/2023 |
| Medicare PECOS PAC ID | 3678903317 |
|---|---|
| Medicare Enrollment ID | O20200421002899 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912534348 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | John A Garrison |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902284870 PECOS PAC ID: 8426357864 Enrollment ID: I20191007002641 |
| Provider Name | Krishanthi Jayathilaka |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1811296585 PECOS PAC ID: 7113357856 Enrollment ID: I20200917001854 |
| Provider Name | Gireesh K Raman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902552409 PECOS PAC ID: 6002201803 Enrollment ID: I20220314001438 |
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