Individual provider Active NPI

Michael K Garver, MD

  • Pediatrics Physician
  • Great Falls, MT
National Provider Identifier
1154322873
Registry record updated Jul 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
8726 Issued in MT
Practice address
926 13TH Ave S
Premier Care Pediatrics
Great Falls, MT 59405-4406
Phone
(406) 770-3000
Fax
(406) 770-3146
NPI assigned
Aug 3, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 8726 MT Primary

Addresses

Primary practice location

926 13TH Ave S
Premier Care Pediatrics
Great Falls, MT 59405-4406

Mailing address

926 13TH Ave S
Premier Care Pediatrics
Great Falls, MT 59405-4406
Phone (406) 770-3000

Other identifiers 2

IdentifierTypeStateIssuer
0018190MedicaidMT
0117062MedicaidMT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100309000161 MT Practitioner - Pediatric Medicine 7113062696 Reassigns benefits to 1 organization
Practice locations: Great Falls, MT

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
8726MTMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Care Pediatrics, LLC Pediatrics CurrentSince Aug 9, 2015 Accepting new patients
Premier Care Pediatrics & Family Practice PastSince Jan 1, 1990 Accepting new patients

Locations

926 13th Ave S
Great Falls, MT 59405
Phone (406) 761-5252

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IGEHAA/Endpoint/IGEHAA

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1123027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404345600000",
    "number": "1154322873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "926 13TH AVE S",
            "address_2": "PREMIER CARE PEDIATRICS",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594054406",
            "telephone_number": "406-770-3000",
            "fax_number": "406-770-3146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "926 13TH AVE S",
            "address_2": "PREMIER CARE PEDIATRICS",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594054406",
            "telephone_number": "406-770-3000",
            "fax_number": "406-770-3146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARVER",
        "first_name": "MICHAEL",
        "middle_name": "K",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-03",
        "last_updated": "2014-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MT",
            "license": "8726",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018190",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0117062",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Falls, MT

Sources for this page

Verify at the official NPI Registry.