NPIMap

Individual provider Active NPI

Harry Timothy Garrett, DO

  • Family Medicine Physician
  • West Salem, IL
National Provider Identifier
1871589515
Registry record updated Jan 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036068484 Issued in IL
Practice address
100 S Main St
West Salem, IL 62476-1202
Phone
(618) 456-3727
Fax
(618) 456-3774
NPI assigned
Sep 27, 2005
Last updated
Jan 18, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2016

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 036068484 IL Primary

Addresses

Primary practice location

100 S Main St
West Salem, IL 62476-1202

Mailing address

800 E Locust St
Olney, IL 62450-2553
Phone (618) 395-7340

Other identifiers 4

IdentifierTypeStateIssuer
036068484MedicaidIL
1215060298OtherILNPI
1316984594OtherILNPI
1669514956OtherILNPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061011000125 IL Practitioner - Family Practice 8628074887 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Oklahoma State University College of Osteopathic Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Richland Memorial Hospital IncGroup PAC ID 3870565732, 107 clinicians

Practice addresses (Care Compare)

100 S Main St
West Salem, IL 62476-1202
Phone (618) 456-3727

208 E Main St
Olney, IL 62450-2114
Phone (618) 392-6241

Hospital & facility affiliations

Procedures performed for Medicare patients

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

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Statera Health Care, LLC CurrentSince Jul 1, 2019 Accepting new patients
County of Richland CurrentSince Jan 24, 2018 Accepting new patients
Richland Memorial Hospital, Inc Current Accepting new patients
Richland Memorial Hospital, Inc CurrentSince Sep 1, 2015 Accepting new patients
Integritas Emergency Physician Services, LLC CurrentSince May 1, 2015 Accepting new patients
Richland Memorial Hospital, Inc Past Accepting new patients
Gibson Community Hospital Association Past Accepting new patients

Locations

2250 N Illinois Ave
Carbondale, IL 62901
Phone (618) 833-1691

611 S Marshall Ave
Mc Leansboro, IL 62859
Phone (618) 542-2146

1418 College Dr
Mount Carmel, IL 62863
Phone (618) 262-8621

208 E Main St
Olney, IL 62450
Phone (618) 392-3090

410 E Mack Ave
Olney, IL 62450
Phone (618) 395-7421

501 S Whittle Ave
Olney, IL 62450
Phone (618) 392-6241

800 E Locust St
Olney, IL 62450
Phone (618) 395-2131

900 E Scott St
Olney, IL 62450
Phone (618) 345-1000

1201 Ricker Rd
Salem, IL 62881
Phone (618) 548-3194

100 S Main St
West Salem, IL 62476
Phone (618) 456-3727

Organizations & group practices 8

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 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453075200000",
    "number": "1871589515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 E LOCUST ST",
            "city": "OLNEY",
            "state": "IL",
            "postal_code": "624502553",
            "telephone_number": "618-395-7340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S MAIN ST",
            "city": "WEST SALEM",
            "state": "IL",
            "postal_code": "624761202",
            "telephone_number": "618-456-3727",
            "fax_number": "618-456-3774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRETT",
        "first_name": "HARRY",
        "middle_name": "TIMOTHY",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-27",
        "last_updated": "2016-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036068484",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036068484",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1215060298",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1316984594",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1669514956",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Salem, IL

Sources for this page

Verify at the official NPI Registry.