NPIMap

Individual provider Active NPI

Benedict Garry, MD

  • Family Medicine Physician
  • Issaquah, WA
National Provider Identifier
1710961834
Registry record updated Feb 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD45334 Issued in WA
Practice address
2005 NW Sammamish Rd
Swedish Physicians
Issaquah, WA 98027-8940
Phone
(425) 394-0700
NPI assigned
Dec 1, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD45334 WA Primary

Addresses

Primary practice location

2005 NW Sammamish Rd
Swedish Physicians
Issaquah, WA 98027-8940

Mailing address

2005 NW Sammamish Rd
Swedish Physicians
Issaquah, WA 98027-8940
Phone (425) 394-0700

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

LicenseStateTypeSpecialty
MD45334WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Salinas Valley Primecare Medical Group Inc Past Accepting new patients
Overlake Medical Clinics LLC Past Accepting new patients
Overlake Medical Clinics, LLC Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1133395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235779200000",
    "number": "1710961834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 NW SAMMAMISH RD",
            "address_2": "SWEDISH PHYSICIANS",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980278940",
            "telephone_number": "425-394-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 NW SAMMAMISH RD",
            "address_2": "SWEDISH PHYSICIANS",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980278940",
            "telephone_number": "425-394-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRY",
        "first_name": "BENEDICT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-01",
        "last_updated": "2009-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD45334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Issaquah, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.