Active NPI
Guy J Garrett, D.O.
- Family Medicine Physician
- Ada, MI
National Provider Identifier
1942264304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 5101006361
- Practice address
- 6181 Witherbee Dr SE
Ada, MI 49301-7810 - Phone
- (616) 676-3207
- NPI assigned
- Apr 13, 2006
- Last updated
- Feb 19, 2008
- 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 | 5101006361 | MI | Primary |
Addresses
Primary practice location
6181 Witherbee Dr SE
Ada, MI 49301-7810
Mailing address
6181 Witherbee Dr SE
Ada, MI 49301-7810
Phone (616) 676-3207
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4282767 | Medicaid | MI | |
| 4714263 | Medicaid | MI |
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 Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101006361 | MI | MD | Geriatric Medicine (Family Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203379200000",
"number": "1942264304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6181 WITHERBEE DR SE",
"city": "ADA",
"state": "MI",
"postal_code": "493017810",
"telephone_number": "616-676-3207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6181 WITHERBEE DR SE",
"city": "ADA",
"state": "MI",
"postal_code": "493017810",
"telephone_number": "616-676-3207"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARRETT",
"first_name": "GUY",
"middle_name": "J",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-13",
"last_updated": "2008-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "5101006361",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4282767",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4714263",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ada, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.