Provider Demographics
NPI:1184835522
Name:GAR MED LTD
Entity Type:Organization
Organization Name:GAR MED LTD
Other - Org Name:DIOSDADO GARCIA MD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:DIOSDADO
Authorized Official - Middle Name:A
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:740-283-7787
Mailing Address - Street 1:ONE ROSS PARK
Mailing Address - Street 2:SUITE 206
Mailing Address - City:STEUBENVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43952-2671
Mailing Address - Country:US
Mailing Address - Phone:740-283-7787
Mailing Address - Fax:740-283-7359
Practice Address - Street 1:ONE ROSS PARK
Practice Address - Street 2:SUITE 206
Practice Address - City:STEUBENVILLE
Practice Address - State:OH
Practice Address - Zip Code:43952-2671
Practice Address - Country:US
Practice Address - Phone:740-283-7787
Practice Address - Fax:740-283-7359
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV0084609000OtherMEDICAIDE
C01466Medicare UPIN
OH0934441Medicare ID - Type Unspecified
PA099101Medicare ID - Type Unspecified