Roxie Kim Hartwig, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

M-14801 Issued in ID

Practice address

111 Bever Grade Rd
Lapwai, ID 83540-0367

Phone

(208) 843-2271

Fax

(208) 621-4995

NPI assigned

Nov 22, 2005

Last updated

Sep 10, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Dr. Roxie Kim Cunningham-Hartwig Other name

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kimh@nimiipuuhealth.directbygreenway.com

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.

• Nez Perce Tribal Health Authority

  dba (DBA) Nimiipuu Health

  • Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
  • Lapwai, ID
  • NPI 1790795888

  TX

  Medicare reassignment NPD
• Nez Perce Tribal Health Board

  dba (dba) Nimiipuu Health

  • Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
  • Lapwai, ID
  • NPI 1235205915
  Authorized official Same address or phone
• Nez Perce Tribal Health Board

  dba (DBA) Nimiipuu Health

  • Clinical Medical Laboratory
  • Lapwai, ID
  • NPI 1386710036
  Authorized official Same address or phone
• Inland Empire Hospital Services Association

  dba Family Medicine of Spokane

  • Family Medicine Physician
  • Spokane, WA
  • NPI 1326002163
  NPD (past)

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568073600000",
    "number": "1669455770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 367",
            "city": "LAPWAI",
            "state": "ID",
            "postal_code": "835400367",
            "telephone_number": "208-843-2271",
            "fax_number": "208-621-4995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 BEVER GRADE RD",
            "city": "LAPWAI",
            "state": "ID",
            "postal_code": "835400367",
            "telephone_number": "208-843-2271",
            "fax_number": "208-621-4995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTWIG",
        "first_name": "ROXIE",
        "middle_name": "KIM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-22",
        "last_updated": "2019-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00045536",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "M-14801",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CORP NPI",
            "identifier": "1245640606",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROXIE",
            "last_name": "CUNNINGHAM-HARTWIG",
            "middle_name": "KIM",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ada Katherine Fryer, LMSW
• Kiara Inez Garcia, LMSW
• Kieran Orlando Thunder Garcia
• Twanna Valene Genus, PHARMD
• Robert Albert Grossklaus, DDS
• Joanna M Hendren, RDH
• Crescentia Hills, MSW
• Lindsey Ann Holt, MSW
• John Horstkamp, MD
• Rita Jamison

• Family Medicine Physician in Lapwai, ID
• Providers in Lapwai, ID by specialty
• Family Medicine Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2019; 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.

Verify at the official NPI Registry.