Whidbey Island Public Hospital District

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

WHIDBEY ISLAND PUBLIC HOSPITAL DISTRICT

Practice address

4100 Easy St
Moab, UT 84532-3719

Phone

(360) 678-7656

Fax

(360) 678-7676

NPI assigned

Nov 22, 2022

Last updated

Nov 22, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

WHIDBEY ISLAND PUBLIC HOSPITAL DISTRICTAs reported in NPPES

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

Authorized official

Name

Garth A Miller, MDNPI 1801082102

Title

Coo

Phone

(360) 678-7656

Specialties & licenses 1

Addresses

Other names 1

• WhidbeyHealth Telehealth Other name

Part of

Whidbey Island Pub Hospital

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Garth A Miller, MD

  • Surgery Physician
  • Coupeville, WA
  • NPI 1801082102
  Authorized official Same address or phone

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

{
    "created_epoch": "1669075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669075200000",
    "number": "1205545746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3603",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981243603",
            "telephone_number": "360-678-7656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 EASY ST",
            "city": "MOAB",
            "state": "UT",
            "postal_code": "845323719",
            "telephone_number": "360-678-7656",
            "fax_number": "360-678-7676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHIDBEY ISLAND PUBLIC HOSPITAL DISTRICT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WHIDBEY ISLAND PUBLIC HOSPITAL DISTRICT",
        "enumeration_date": "2022-11-22",
        "last_updated": "2022-11-22",
        "certification_date": "2022-11-22",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "GARTH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "360-678-7656",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WhidbeyHealth Telehealth",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jonathan Frank Weisbecker, RPH
• Emily Weiser
• Lauren Wells, PA-C
• William Douglas Wennell, RN
• Desiree Lee Westfall, PA-C, MPH
• Christine Wibby
• Tara Lynn Wilder
• Grizel Williams
• Katherine Kallmeyer Williams, M.D.
• Kenneth Lewis Williams, M.D.

• Psychiatry Physician in Moab, UT
• Providers in Moab, UT by specialty
• Psychiatry Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.