CHARLES O GARRISON (NPI# 1366441156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366441156 |
| Entity Type | Individual |
| Full Name | CHARLES O GARRISON |
| Credential | MD |
| Practice Address |
1125 W Alameda Rd Pocatello ID 83201-6143 |
| Practice Telephone | 2082371151 |
| Practice Fax Number | 2082379721 |
| Mailing Telephone | 2082371151 |
| Mailing Fax Number | 2082379721 |
| Enumeration Date | 2005-07-14 |
| Last Update Date | 2007-07-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0005X |
Emergency Medicine Specialization: Undersea and Hyperbaric Medicine |
M3488 | ID | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518210426 | Charles Garrison | Pathology | 5904 Reddington Way, Sandy Springs, GA 30328-6224 | 2012-10-17 |
| 1770650129 | Charles L Garrison | Dentist | 7345 Linda Vista Rd, Ste D, San Diego, CA 92111 | 2006-11-29 |
| 1134205677 | Charles Jerry Garrison | Pharmacist | 1532 Huffman Rd, Birmingham, AL 35215-5621 | 2006-10-27 |
| Street Address |
1125 W ALAMEDA RD |
| City | POCATELLO |
| State | ID |
| Zip Code | 83201-6143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386642494 | Idaho Hyperbarics Inc | Emergency Medicine | 1125 W Alameda Rd, Pocatello, ID 83201-6143 | 2005-07-12 |
| 1285633065 | Christopher C Shields | Emergency Medicine | 1125 W Alameda Rd, Pocatello, ID 83201-6143 | 2005-07-14 |
| 1659370443 | Michael J Gregson | Emergency Medicine | 1125 W Alameda Rd, Pocatello, ID 83201-6143 | 2005-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235765330 | Timothy Palmer | Social Worker | 400 S 11th Ave, Ste 204, Pocatello, ID 83201 | 2020-03-20 |
| 1225687759 | Hanna Percy | Nurse Practitioner | 1151 Hospital Way Ste 201, Pocatello, ID 83201 | 2019-09-07 |
| 1659935195 | Carol Jane Dillon | Counselor | 707 North 7th Avenue, Suite D, Pocatello, ID 83201 | 2019-04-30 |
| 1154801595 | Mv Pocatello Ent, LLC | Otolaryngology | 333 N 18th Ave Ste B3, Pocatello, ID 83201 | 2018-08-15 |
| 1306344346 | Ruth Anne Patton | Social Worker | 850 E Young St, Pocatello, ID 83201 | 2018-01-24 |
| 1598289274 | Lucas Alexander Bryan | Specialist/Technologist | 1535 E Terry St, Pocatello, ID 83201 | 2017-08-03 |
| 1205365632 | Geno Alan Giovanini | Denturist | 115 S. 15th Ave. Ste. D, Pocatello, ID 83201 | 2017-06-08 |
| 1518415942 | Kelli Fries-geslin | Nurse Practitioner | 500 South 11 Ave Suite 400, Pocatello, ID 83201 | 2016-09-14 |
| 1346797842 | Shailyn Jenkins | Specialist/Technologist | 665 Warren Ave., Pocatello, ID 83201 | 2016-09-01 |
| 1992258149 | Christopher Jared White | Social Worker | 300 N 7th Ave, Pocatello, ID 83201 | 2016-07-24 |
| Find all providers in zip 83201 | ||||
| Taxonomy Code | 207PE0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Undersea and Hyperbaric Medicine |
| A specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns, and bone infections. This specialist also serves as a consultant to other physicians in all aspects of hyperbaric chamber operations, and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions. |
| Notes: Source: American Board of Emergency Medicine [7/1/2008: source added, additional resources added] Additional Resources: Additional Resources: www.abem.org & American Board of Preventive Medicine www.abprevmed.org |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386642494 | Idaho Hyperbarics Inc | Emergency Medicine | 1125 W Alameda Rd, Pocatello, ID 83201-6143 | 2005-07-12 |
| 1285633065 | Christopher C Shields | Emergency Medicine | 1125 W Alameda Rd, Pocatello, ID 83201-6143 | 2005-07-14 |
| 1659370443 | Michael J Gregson | Emergency Medicine | 1125 W Alameda Rd, Pocatello, ID 83201-6143 | 2005-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851866545 | Hyperbaric Centers of Idaho | Emergency Medicine | 721 Hailey Dr, Hailey, ID 83333-8778 | 2018-10-09 |
| 1356349492 | Martha I Buitrago | Emergency Medicine | 2900 Cortez Ave, Idaho Falls, ID 83404-7554 | 2005-07-12 |
| 1639190291 | Margaret Mary Doucette | Emergency Medicine | 500 W Fort St, Boise, ID 83702-4501 | 2006-07-21 |
| 1215957733 | Marlene K Olson | Emergency Medicine | 600 N Robbins Rd, Suite 100, Boise, ID 83702-4565 | 2006-07-20 |
| 1205875275 | Emergency Medicine of Idaho | Emergency Medicine | 13960 W Wainwright Dr, Boise, ID 83713-1969 | 2006-06-05 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.