Physician Compare National (NPI:1558361659)

HEALTHCARE PROVIDER: CARLA GARRISON M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1558361659
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6709894140
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20090414000634
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	GARRISON
	Individual professional last name
Provider First Name	CARLA
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1986
	Individual professional's medical school graduation year
Primary Specialty	PLASTIC AND RECONSTRUCTIVE SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1530 E BRADFORD PKWY
	Group Practice or individual's line 1 address
City	SPRINGFIELD
	Group Practice or individual's city
State	MO
	Group Practice or individual's state
Zip Code	658046565
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y