Individual provider Active NPI

Barbara Jean Macgillivray, MD

  • Surgery Physician
  • Goldendale, WA
National Provider Identifier
1679108609
Registry record updated Mar 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD61033561 Issued in WA
Practice address
310 S Roosevelt St
Goldendale, WA 98620-9201
Phone
(509) 773-1011
Fax
(509) 773-1941
NPI assigned
Mar 10, 2020
Last updated
Mar 10, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD61033561 WA Primary

Addresses

Primary practice location

310 S Roosevelt St
Goldendale, WA 98620-9201

Mailing address

310 S Roosevelt St
Goldendale, WA 98620-9201
Phone (509) 773-1011

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20200417002548 WA Practitioner - General Surgery 8820428600 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Dalhousie University Faculty of Dentistry, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Klickitat County Public Hospital District No 1Group PAC ID 0648164269, shared by 5 NPIs, 46 clinicians

Practice addresses (Care Compare)

310 S Roosevelt St
Goldendale, WA 98620-9201
Phone (509) 486-2151

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Klickitat County Public Hospital District No 1 Current Accepting new patients
Klickitat County Public Hospital District No 1 Current Accepting new patients
Klickitat County Public Hospital District No 1 CurrentSince Apr 6, 2020 Accepting new patients

Locations

310 S Roosevelt St
Goldendale, WA 98620
Phone (509) 486-2151

317 Sanders Way
Goldendale, WA 98620
Phone (509) 773-4017

Interoperability endpoints

  • Direct secure messaging: jmacgillivray@kvhealthfm.gwaydirect.com

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1583798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583798400000",
    "number": "1679108609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 S ROOSEVELT ST",
            "city": "GOLDENDALE",
            "state": "WA",
            "postal_code": "986209201",
            "telephone_number": "509-773-1011",
            "fax_number": "509-773-1941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 S ROOSEVELT ST",
            "city": "GOLDENDALE",
            "state": "WA",
            "postal_code": "986209201",
            "telephone_number": "509-773-1011",
            "fax_number": "509-773-1941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACGILLIVRAY",
        "first_name": "BARBARA",
        "middle_name": "JEAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-10",
        "last_updated": "2020-03-10",
        "certification_date": "2020-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WA",
            "license": "MD61033561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goldendale, WA

Sources for this page

Verify at the official NPI Registry.