Active NPI
Jennifer F Garwick, M.D.
- Internal Medicine Physician
- Bonners Ferry, ID
National Provider Identifier
1245221126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD60535266
- Practice address
- 6635 Comanche St
Bonners Ferry, ID 83805-7523 - Phone
- (208) 267-1718
- Fax
- (208) 267-7739
- NPI assigned
- Oct 31, 2005
- Last updated
- Jan 28, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | M8663 | ID | |
| Internal Medicine Physician | 207R00000X | MD60535266 | WA | Primary |
Addresses
Primary practice location
6635 Comanche St
Bonners Ferry, ID 83805-7523
Mailing address
PO Box 421
Liberty Lake, WA 99019-0421
Phone (866) 747-2455
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 71688 | Other | ID | BLUE CROSS OF IDAHO |
| 806041700 | Medicaid | ID | |
| 000010142695 | Other | ID | REGENCE OF IDAHO GROUP |
| 806590100 | Medicaid | ID | |
| 8H104 | Other | ID | BLUE CROSS OF IDAHO GROUP |
| 000010148248 | Other | ID | REGENCE OF IDAHO |
| 043634356 | Other | ID | BRCHC TAX ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M8663 | ID | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Landmark Health of Oregon LLC | Past | Accepting new patients | |
| Inpatient Consultants of California, Inc. | Internal Medicine | Past | Accepting new patients |
| Boundary Regional Community Health Center Inc | Family Medicine | Past | Accepting new patients |
| Boundary Regional Community Health Center, Inc. | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- jgarwick@landmarkhealth-direct.org
- jgarwick609995@direct.multicare.org
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Kaniksu Community Health
- Federally Qualified Health Center (FQHC)
- Bonners Ferry, ID
- NPI 1306883244
Family Medicine
-
dba Kaniksu Health Services
- Federally Qualified Health Center (FQHC)
- Bonners Ferry, ID
- NPI 1770649154
-
dba IPC of Washington
- Hospitalist Physician
- Berkeley, CA
- NPI 1295011351
Internal Medicine
-
- General Practice Physician
- Tigard, OR
- NPI 1205226214
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453939200000",
"number": "1245221126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 421",
"city": "LIBERTY LAKE",
"state": "WA",
"postal_code": "990190421",
"telephone_number": "866-747-2455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6635 COMANCHE ST",
"city": "BONNERS FERRY",
"state": "ID",
"postal_code": "838057523",
"telephone_number": "208-267-1718",
"fax_number": "208-267-7739"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARWICK",
"first_name": "JENNIFER",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-31",
"last_updated": "2016-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "ID",
"license": "M8663",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WA",
"license": "MD60535266",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF IDAHO",
"identifier": "71688",
"state": "ID"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "806041700",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE OF IDAHO GROUP",
"identifier": "000010142695",
"state": "ID"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "806590100",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF IDAHO GROUP",
"identifier": "8H104",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE OF IDAHO",
"identifier": "000010148248",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BRCHC TAX ID",
"identifier": "043634356",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bonners Ferry, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.