Active NPI
Stuart Garrie, M.D.
- Dermatology Physician
- Bellevue, WA
National Provider Identifier
1407854706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- MD00015213
- Practice address
- 113 Cedar Crest LN
Bellevue, WA 98004-6725 - Phone
- (425) 457-0353
- NPI assigned
- Jul 11, 2005
- Last updated
- Nov 18, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | MD00015213 | WA | Primary |
| Dermatopathology Physician | 207ND0900X | MD00015213 | WA | |
| Psychiatry Physician | 2084P0800X | MD00015213 | WA |
Addresses
Primary practice location
113 Cedar Crest LN
Bellevue, WA 98004-6725
Mailing address
113 Cedar Crest LN
Bellevue, WA 98004-6725
Phone (425) 457-0353
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407854706 | Other | WA | MEDICARE NPI |
| AG7768875 | Other | WA | PRESCRIPTION AUTHORITY |
| MD00015213 | Other | WA | MEDICAL LICENSE |
Other names 1
- Stuart A. Garrie
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00015213 | WA | MD | Dermatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479427200000",
"number": "1407854706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "113 CEDAR CREST LN",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980046725",
"telephone_number": "425-457-0353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "113 CEDAR CREST LN",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980046725",
"telephone_number": "425-457-0353"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARRIE",
"first_name": "STUART",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-11",
"last_updated": "2016-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "WA",
"license": "MD00015213",
"primary": true
},
{
"code": "207ND0900X",
"taxonomy_group": "",
"desc": "Dermatology, Dermatopathology",
"state": "WA",
"license": "MD00015213",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "WA",
"license": "MD00015213",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE NPI",
"identifier": "1407854706",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRESCRIPTION AUTHORITY",
"identifier": "AG7768875",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "MD00015213",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "STUART",
"last_name": "GARRIE",
"middle_name": "A.",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.