Active NPI
Roger D Garvin, M.D.
- Family Medicine Physician
- Spokane, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD00024055
- Practice address
- 104 W 5TH Ave
Suite 200W
Spokane, WA 99204-4839 - Phone
- (509) 624-2313
- Fax
- (509) 459-0686
- NPI assigned
- Nov 22, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD00024055 | WA | Primary |
Addresses
Primary practice location
104 W 5TH Ave
Suite 200W
Spokane, WA 99204-4839
Mailing address
104 W 5TH Ave
Suite 200W
Spokane, WA 99204-4880
Phone (509) 624-2313
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00024055 | WA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tuality Healthcare | Family Medicine | Current | Accepting new patients |
| Tuality Healthcare | Current | Accepting new patients | |
| University Professional Services | Current | Accepting new patients | |
| Tuality Medical Group LLC | Current | Accepting new patients | |
| Oregon Health & Science University | Current | Accepting new patients | |
| Oregon Health & Science University | Current | Accepting new patients | |
| Tuality Medical Group LLC | Current | Accepting new patients | |
| Oregon Health & Science University | Current | Accepting new patients | |
| Inland Empire Hospital Services Association | Family Medicine | Past | Accepting new patients |
Locations
15700 SW Greystone Ct
Beaverton, OR 97006
Phone (503) 203-1000
335 SE 8th Ave
Hillsboro, OR 97123
Phone (503) 681-1111
4411 SW Vermont St
Portland, OR 97219
Phone (503) 494-9992
3930 SE Division St
Portland, OR 97202
Phone (503) 418-3900
4212 SE Division St
Ste 150
Portland, OR 97206
Phone (503) 418-1500
2241 Lloyd Ctr
Portland, OR 97232
3181 SW Sam Jackson Park Rd
Portland, OR 97239
Phone (503) 494-5674
51377 SW Old Portland Rd
Scappoose, OR 97056
Phone (503) 418-4222
Organizations & group practices 10
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.
-
dba OHSU Scappoose Rural Health Clinic
- Rural Health Clinic/Center
- Scappoose, OR
- NPI 1417969304
-
dba Hillsboro Medical Center
- General Acute Care Hospital
- Hillsboro, OR
- NPI 1275591984
Family Medicine
-
- Internal Medicine Physician
- Hillsboro, OR
- NPI 1073929782
-
- General Practice Physician
- Portland, OR
- NPI 1376709535
-
dba Ohsu East Portland Pharmacy
- Community/Retail Pharmacy
- Portland, OR
- NPI 1457129678
-
dba OHSU Richmond Health Center
- Federally Qualified Health Center (FQHC)
- Portland, OR
- NPI 1477675148
-
- Psychiatric Hospital
- Hillsboro, OR
- NPI 1073817714
-
dba Hillsboro Medical Center Neurology Clinic
- Neurology Physician
- Hillsboro, OR
- NPI 1639690704
-
dba OHSU Intercultural Psychiatric Program
- Adult Mental Health Clinic/Center
- Portland, OR
- NPI 1750753687
-
dba Family Medicine of Spokane
- Family Medicine Physician
- Spokane, WA
- NPI 1326002163
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1310428800000",
"number": "1831172022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 W 5TH AVE",
"address_2": "SUITE 200W",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992044880",
"telephone_number": "509-624-2313",
"fax_number": "509-459-0686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 W 5TH AVE",
"address_2": "SUITE 200W",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992044839",
"telephone_number": "509-624-2313",
"fax_number": "509-459-0686"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARVIN",
"first_name": "ROGER",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-22",
"last_updated": "2011-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "MD00024055",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2011; 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.