NPIMap

Organization Active NPI

Whidbey Island Public Hospital District

  • Diagnostic Radiology Physician
  • Sarasota, FL
National Provider Identifier
1316779101
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
WHIDBEY ISLAND PUBLIC HOSPITAL DISTRICT
Practice address
4562 Forest Wood TRL
Sarasota, FL 34241-6253
Phone
(360) 678-5151
NPI assigned
Aug 19, 2024
Last updated
Dec 12, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
WHIDBEY ISLAND PUBLIC HOSPITAL DISTRICTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 12, 2024

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

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X NU Primary

Addresses

Primary practice location

4562 Forest Wood TRL
Sarasota, FL 34241-6253

Mailing address

PO Box 3603
Seattle, WA 98124-3603
Phone (360) 678-7656

Other practice location 1

31 Harbour Isle Dr W Unit 304
Fort Pierce, FL 34949-2783
Phone (360) 678-5151

Other names 1

  • WhidbeyHealth Teleradiology Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240912001060 FL Part B Supplier - Clinic/Group Practice 1658280680 Receives reassigned benefits from 2 practitioners
1 other NPI on this enrollment
Practice locations: Sarasota, FL; Fort Pierce, FL

Other NPIs with the same Medicare PAC ID 12

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Whidbey Island Pub Hospital38 organizations share this tax ID, including this one
Part of
Whidbey Island Pub Hospital

Other organizations with this tax ID 37

Organizations that report the same tax identification number in the National Provider Directory.

View all 37

Ownership & related parties

All facility ownership & control disclosures 8

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Whidbeyhealth Medical CenterCoupeville, WA, CCN 501339 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1966
Whidbeyhealth Medical CenterCoupeville, WA, CCN 50Z339 Hospital 5% Or Greater Direct Ownership Interest Jan 1, 1966
Whidbeyhealth Hospice CareCoupeville, WA, CCN 501542 Hospice 5% Or Greater Direct Ownership Interest (100%) Jan 30, 2013
Whidbeyhealth Primary Care - Goldie St.Oak Harbor, WA, CCN 503996 Rural health clinic 5% Or Greater Direct Ownership Interest
Operational/Managerial Control		 Jan 1, 1962
Jan 1, 1962
Whidbeyhealth Primary Care - ClintonClinton, WA, CCN 508506 Rural health clinic 5% Or Greater Direct Ownership Interest
Operational/Managerial Control		 Jan 1, 1962
Jan 1, 1962
Whidbeyhealth Primary Care - FreelandFreeland, WA, CCN 508585 Rural health clinic Other (100%) Apr 1, 1969
Whidbeyhealth Primary Care - CabotOak Harbor, WA, CCN 508584 Rural health clinic Other Apr 1, 2011
Whidbeyhealth Primary Care - CoupevilleCoupeville, WA, CCN 508583 Rural health clinic Other (100%) Apr 1, 1969

Owned or controlled facilities with NPI records 13

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 13

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1724025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733961600000",
    "number": "1316779101",
    "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",
            "fax_number": "866-442-8884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4562 FOREST WOOD TRL",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342416253",
            "telephone_number": "360-678-5151"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "31 Harbour Isle Dr W Unit 304",
            "address_purpose": "LOCATION",
            "city": "Fort Pierce",
            "state": "FL",
            "postal_code": "349492783",
            "country_code": "US",
            "telephone_number": "360-678-5151",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WHIDBEY ISLAND PUBLIC HOSPITAL DISTRICT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WHIDBEY ISLAND PUBLIC HOSPITAL DISTRICT",
        "enumeration_date": "2024-08-19",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "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": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WhidbeyHealth Teleradiology",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "WhidbeyHealth Teleradiology",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.