JOHN GARLICH (NPI# 1700236841) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700236841 |
| Entity Type | Individual |
| Full Name | JOHN GARLICH |
| Credential | M.D. |
| Practice Address |
6414 Fannin St Ste G150 Houston TX 77030-1514 |
| Mailing Address |
444 S San Vicente Blvd Suite 603 Los Angeles CA 90048-4165 |
| Practice Telephone | 7134867500 |
| Practice Fax Number | 7135127240 |
| Mailing Telephone | 3104239718 |
| Enumeration Date | 2016-06-20 |
| Last Update Date | 2020-04-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | A142256 | CA | Allopathic & Osteopathic Physicians |
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | TX | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | THE MEDICAL BOARD OF CALIFORNIA | A142256 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 444 S San Vicente Blvd, Suite 603, Los Angeles, CA 900484165 | 3104239718 |
| Street Address |
6414 FANNIN ST STE G150 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77030-1514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023040631 | Jeana Kelly | Physician Assistant | 6414 Fannin St Ste G150, Department of Orthopaedic Surgery, Houston, TX 77030-1514 | 2006-07-06 |
| 1265066047 | Bryan Lennon Ruygrok | Physician Assistant | 6414 Fannin St Ste G150, Houston, TX 77030-1514 | 2020-03-02 |
| 1427690791 | Maura K Leo | Nurse Practitioner | 6414 Fannin St Ste G150, Houston, TX 77030-1514 | 2019-10-08 |
| 1841682390 | Christina Yazdani | Physician Assistant | 6414 Fannin St Ste G150, Houston, TX 77030 | 2015-02-20 |
| 1851633994 | Ashley Elizabeth Levack | Orthopaedic Surgery | 6414 Fannin St Ste G150, Houston, TX 77030-1514 | 2013-03-26 |
| 1396027306 | Audrey C Lively | Physician Assistant | 6414 Fannin St Ste G150, Houston, TX 77030-1514 | 2011-09-15 |
| 1881859015 | Timothy Stuart Achor | Orthopaedic Surgery | 6414 Fannin St Ste G150, Houston, TX 77030-1514 | 2008-07-28 |
| 1144488255 | John Wesley Munz | Orthopaedic Surgery | 6414 Fannin St Ste G150, Houston, TX 77030-1514 | 2008-05-26 |
| 1750583910 | Mark L Prasarn | Orthopaedic Surgery | 6414 Fannin St Ste G150, Houston, TX 77030-1514 | 2007-06-01 |
| 1629297973 | Denise H Hansen | Physician Assistant | 6414 Fannin St Ste G150, Houston, TX 77030-1514 | 2007-04-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770852 | Mchaji Celestaine | Pharmacist | Medvamc 2002 Holcombe Blvd, Outpatient Pharmacy, Houston, TX 77030 | 2020-11-04 |
| 1730702598 | Christopher A Mcmillian | Student in an Organized Health Care Education/Training Program | Houston Methodist Department of Surgery, 6550 Fannin St., Smith Tower 1661, Houston, TX 77030 | 2020-05-27 |
| 1245852698 | Mostafa Hotait | Student in an Organized Health Care Education/Training Program | 7200 Cambridge Street 9a, Houston, TX 77030 | 2020-05-08 |
| 1790307288 | Ayushi Jayesh Shah | Student in an Organized Health Care Education/Training Program | 6560 Fannin St, Department of Neurology, Houston Method, Suite 802, Scurlock. 8thfloor, Houston, TX 77030 | 2020-05-07 |
| 1932720836 | Vera Whole Health Wa, PC | Clinic/Center | 6620 Main St, 12th Flr, Ste 1225, Houston, TX 77030 | 2020-05-01 |
| 1548881808 | Mobitz Heart and Rhythm Center Pllc | Internal Medicine | Scurlock Tower, 6560 Fannin St., Houston, TX 77030 | 2020-04-28 |
| 1710516513 | Thomas Chi Han Lu | Student in an Organized Health Care Education/Training Program | 6431 Fannin Street, Msb 3.151, Houston, TX 77030 | 2020-04-03 |
| 1063041085 | Kevin Tang | Student in an Organized Health Care Education/Training Program | 7200 Cambridge., Bcm 903, Suite A10.202, Houston, Texas, TX 77030 | 2020-04-02 |
| 1831728898 | Taylor Renbarger | Student in an Organized Health Care Education/Training Program | 6431 Fannin St Suite Jjl 431, Houston, TX 77030 | 2020-04-02 |
| 1972131423 | Sindhu R Rao | Student in an Organized Health Care Education/Training Program | 7200 Cambridge Street, 9th Floor, Suite 9a, Houston, TX 77030 | 2020-03-31 |
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| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447865936 | Zhuoxuan Judy Cai | Student in an Organized Health Care Education/Training Program | 1400 Pressler St Fl 7703015, Houston, TX 77030-3722 | 2020-09-10 |
| 1255946109 | Idris Abdullah Badruddin | Student in an Organized Health Care Education/Training Program | 7911 Lawn Wood Ln, Houston, TX 77086-2325 | 2020-09-08 |
| 1427669209 | Omar Ahmed | Student in an Organized Health Care Education/Training Program | 7500 Cambridge St # 6510, Houston, TX 77054-2032 | 2020-08-13 |
| 1245840503 | Punit Pala | Student in an Organized Health Care Education/Training Program | 1550 Lakeside Enclave Dr, Houston, TX 77077-1684 | 2020-08-03 |
| 1932719374 | Atteeba Manzar | Student in an Organized Health Care Education/Training Program | 6550 Fannin St Ste 1661, Houston, TX 77030-2765 | 2020-07-31 |
| 1619595204 | Noah Collaco | Student in an Organized Health Care Education/Training Program | 3110 Gannett St, Houston, TX 77025-3826 | 2020-07-09 |
| 1629696273 | Esraa Elsamny | Student in an Organized Health Care Education/Training Program | 7676 Phoenix Dr Apt 1523, Houston, TX 77030-4725 | 2020-07-09 |
| 1194343988 | Melanie Leigh Painter | Student in an Organized Health Care Education/Training Program | 1505 City Nights Way, Houston, TX 77047-3405 | 2020-07-08 |
| 1467079608 | Emmanuella Adetoro Oduguwa | Student in an Organized Health Care Education/Training Program | 10918 Ranier Dr, Houston, TX 77031-1835 | 2020-07-04 |
| 1366069288 | Jacob Charles Kinskey | Student in an Organized Health Care Education/Training Program | Attn: Jacob Kinskey, Dept. of Pathology, 6550 Fannin St Ste Sm383, Houston, TX 77030-2717 | 2020-06-26 |
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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.