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SAMUEL DAVID GARRISON MD
NPI 1174378947
Student in an Organized Health Care Education/Training Program in Indianapolis, IN

Active since April 23, 2024PECOS Enrolled
355 W 16TH ST STE 2364, INDIANAPOLIS, IN 46202(317) 963-7307 Get Directions Write a Review

NPPES record last updated: April 23, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Samuel David Garrison Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMUEL DAVID GARRISON MD (NPI 1174378947) is an individual student in an organized health care education/training program in Indianapolis, Indiana and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174378947
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSAMUEL DAVID GARRISONCredential: MD
Location Address355 W 16TH ST STE 2364Indianapolis, IN 46202-2279
Mailing Address355 W 16th St Ste 2364Indianapolis, IN 46202-2279 · (317) 963-7307
Phone(317) 963-7307
Sole ProprietorNo
Enumeration DateApril 23, 2024
NPPES CertifiedApril 21, 2024
✔ NPI 1174378947 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

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.

355 W 16TH ST STE 2364, Indianapolis, IN 46202
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samuel David Garrison Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. AMANDA ROSEMARIE KAMINSKI
Student in an Organized Health Care Education/Training Program
355 W 16TH ST STE 2364
INDIANAPOLIS, IN 46202
Marion County (317) 963-7307
LAUREN OLIVIA BRYANT MD
Student in an Organized Health Care Education/Training Program
355 W 16TH ST STE 2364
INDIANAPOLIS, IN 46202
Marion County (317) 963-7307
JENNIFER MARIE MARTYNOWICZ
Psychiatry & Neurology (Psychiatry)
355 W 16TH ST STE 2364
INDIANAPOLIS, IN 46202
Marion County (317) 963-7288
JOSEPH MCCANN MD
Student in an Organized Health Care Education/Training Program
355 W 16TH ST STE 2364
INDIANAPOLIS, IN 46202
Marion County (317) 963-7307
MICAH SHIGENORI ITICOVICI MD
Student in an Organized Health Care Education/Training Program
355 W 16TH ST STE 2364
INDIANAPOLIS, IN 46202
Marion County (317) 963-7288
MICHAEL WEBER
Student in an Organized Health Care Education/Training Program
355 W 16TH ST STE 2364
INDIANAPOLIS, IN 46202
Marion County (317) 963-7307
MICHAEL BRIDGES
Psychiatry & Neurology (Psychiatry)
355 W 16TH ST STE 2364
INDIANAPOLIS, IN 46202
Marion County (317) 963-7307
CALEB JAMES NISSEN MD
Student in an Organized Health Care Education/Training Program
355 W 16TH ST STE 2364
INDIANAPOLIS, IN 46202
Marion County (317) 963-7307

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samuel Garrison's NPI number?

The NPI number for Samuel Garrison is 1174378947. It was assigned to this individual provider in the NPPES registry on April 23, 2024.

Where is Samuel Garrison located?

Samuel Garrison practices at 355 W 16th St Ste 2364, Indianapolis, IN 46202. The listed phone number is (317) 963-7307.

What is Samuel Garrison's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Samuel Garrison enrolled in Medicare?

Yes. Samuel Garrison is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Samuel Garrison was last updated on April 23, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.