Carden Kendrick Gambee, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OP60747016 Issued in WA

Practice address

1344 Wintergreen LN NE Unit 100
Bainbridge Island, WA 98110-5147

Phone

(206) 201-0488

Fax

(206) 835-7439

NPI assigned

Mar 1, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in ID

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

Specialty

Family Practice

Education

Midwestern University College of Dental Medicine, Glendale, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

MVH BMC LLCGroup PAC ID 2961791991, 14 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mountain View Hospital Hospital, Idaho Falls, ID, CCN 130065

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cgambee251661@fhsce.catholichealth.net

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.

• MVH BMC LLC

  • Family Medicine Physician
  • Blackfoot, ID
  • NPI 1649699174
  Medicare reassignment Care Compare group NPD
• MVH BMC LLC

  • Rural Health Clinic/Center
  • Blackfoot, ID
  • NPI 1467816579

  Family Medicine

  NPD
• MVH BMC LLC

  • Family Medicine Physician
  • Rexburg, ID
  • NPI 1649699216
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Mountain View Hospital LLC

  • General Acute Care Hospital
  • Idaho Falls, ID
  • NPI 1669462362
  Care Compare affiliation

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

{
    "created_epoch": "1362096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606953600000",
    "number": "1619218567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1344 WINTERGREEN LN NE UNIT 100",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981105147",
            "telephone_number": "206-201-0488",
            "fax_number": "206-835-7439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1344 WINTERGREEN LN NE UNIT 100",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981105147",
            "telephone_number": "206-201-0488",
            "fax_number": "206-835-7439"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19389 N 59th Ave",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853086500",
            "country_code": "US",
            "telephone_number": "623-572-3957",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAMBEE",
        "first_name": "CARDEN",
        "middle_name": "KENDRICK",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-01",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0116025462",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "OP60747016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2084377",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cgambee251661@fhsce.catholichealth.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1344 Wintergreen Ln NE Unit 100",
            "city": "Bainbridge Island",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981105147",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cgambee251661@fhsce.catholichealth.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1344 Wintergreen Ln NE Unit 100",
            "city": "Bainbridge Island",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981105147",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Franciscan Medical Group
• Franciscan Medical Group
• Fresonke ND, Inc
• Frye & Davies PLLC
• Orlando Joseph Fugaro, DDS,MSD
• Madeline Elizabeth Garfunkel
• Shannon D. Gates, M.D.
• Kristi Gavigan, LMHC
• Kristin Marie Geddes, ARNP
• Kellee Gibbons, MA, APPLYING LMHCA

• Family Medicine Physician in Bainbridge Island, WA
• Providers in Bainbridge Island, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.