Individual provider Active NPI

Roger D Garvin, M.D.

  • Family Medicine Physician
  • Spokane, WA
National Provider Identifier
1831172022
Registry record updated Jul 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD00024055 Issued in WA
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

Updated by the provider on Jul 12, 2011

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070514000384 OR Practitioner - Family Practice 9931206703 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD00024055WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tuality Healthcare Family Medicine Current Accepting new patients
Tuality Healthcare CurrentSince Feb 10, 2018 Accepting new patients
University Professional Services CurrentSince Jan 1, 2009 Accepting new patients
Tuality Medical Group LLC CurrentSince Feb 10, 2018 Accepting new patients
Oregon Health & Science University Current Accepting new patients
Oregon Health & Science University CurrentSince Mar 23, 2014 Accepting new patients
Tuality Medical Group LLC CurrentSince Feb 10, 2018 Accepting new patients
Oregon Health & Science University CurrentSince Mar 23, 2014 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.

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

Verify at the official NPI Registry.