Active NPI
Sylvia F Garwin, M.D.
- Gynecology Physician
- Carbondale, IL
National Provider Identifier
1780687574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 036079404
- Practice address
- 120 N Illinois Ave
Carbondale, IL 62901-1450 - Phone
- (618) 529-5611
- Fax
- (618) 529-5651
- NPI assigned
- May 24, 2005
- Last updated
- Dec 28, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | 036079404 | IL | Primary |
Addresses
Primary practice location
120 N Illinois Ave
Carbondale, IL 62901-1450
Mailing address
PO Box 1105
Indianapolis, IN 46206-1105
Phone (618) 529-5611
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 128282 | Other | IL | HEALTHLINK |
| P00027199 | Other | IL | RAILROAD MEDICARE |
| 03932010 | Other | IL | BLUECROSS BLUESHIELD |
| 046684 | Other | IL | HEALTH ALLIANCE |
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 |
|---|---|---|---|
| 036079404 | IL | MD | Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Albany Clinic LLC | Current | Accepting new patients | |
| Southern Illinois OB-GYN Associates, S.C. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Anesthesiology Physician
- Carbondale, IL
- NPI 1780310391
-
- Obstetrics & Gynecology Physician
- Herrin, IL
- NPI 1699838276
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1356652800000",
"number": "1780687574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1105",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462061105",
"telephone_number": "618-529-5611",
"fax_number": "618-529-5651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 N ILLINOIS AVE",
"city": "CARBONDALE",
"state": "IL",
"postal_code": "629011450",
"telephone_number": "618-529-5611",
"fax_number": "618-529-5651"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARWIN",
"first_name": "SYLVIA",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-05-24",
"last_updated": "2012-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "IL",
"license": "036079404",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK",
"identifier": "128282",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00027199",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUESHIELD",
"identifier": "03932010",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH ALLIANCE",
"identifier": "046684",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Carbondale, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.