MR. GARY JOHN GARDNER (NPI# 1003104993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003104993 |
| Entity Type | Individual |
| Full Name | MR. GARY JOHN GARDNER |
| Credential | N.P. |
| Practice Address |
4251 Forest Park Ave Saint Louis MO 63108-2810 |
| Mailing Address |
26 N Pennsylvania Ave Belleville IL 62220-3952 |
| Practice Telephone | 6183639545 |
| Mailing Telephone | 6183639545 |
| Enumeration Date | 2011-07-13 |
| Last Update Date | 2012-08-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
209005922 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457679862 | Gary Dean Gardner | Dentist | 1301 West Gore Blvd, Suite 2, Lawton, OK 73501 | 2010-05-10 |
| 1083620041 | Gary Roscoe Gardner | Chiropractor | 13106 Shelbyville Rd, Louisville, KY 40243-1572 | 2006-07-31 |
| 1881715662 | Gary C Gardner | Counselor | 709 Davidson St, Tullahoma, TN 37388-3607 | 2007-04-02 |
| 1316911746 | Gary Don Gardner | Dentist | 21st Street, Bldg 2441, Fort Campbell, KY 42223-5369 | 2006-02-14 |
| Street Address |
4251 FOREST PARK AVE |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63108-2810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336116516 | Erin Summers | Nurse Practitioner | 4251 Forest Park Ave, Saint Louis, MO 63108 | 2006-03-07 |
| 1609475425 | Larissa Dimelo Venhaus | Nurse Practitioner | 4251 Forest Park Ave, Saint Louis, MO 63108-2810 | 2020-10-22 |
| 1457903346 | Laura Ann Anderson | Nurse Practitioner | 4251 Forest Park Ave, Saint Louis, MO 63108-2810 | 2019-07-11 |
| 1417425232 | Charity Joanna Letko Galgani | Nurse Practitioner | 4251 Forest Park Ave, Saint Louis, MO 63108-2810 | 2018-11-09 |
| 1184009276 | Erica Ashley Crawford | Nurse Practitioner | 4251 Forest Park Ave, Planned Parenthood, Saint Louis, MO 63108 | 2015-07-30 |
| 1033505227 | Shanda Jacobs | Registered Nurse | 4251 Forest Park Ave, Saint Louis, MO 63108-2810 | 2015-04-14 |
| 1164822334 | Rebecca Huelsing | Nurse Practitioner | 4251 Forest Park Ave, Saint Louis, MO 63108-2810 | 2014-08-25 |
| 1114349131 | Jenette Lee Mcpike | Nurse Practitioner | 4251 Forest Park Ave, Saint Louis, MO 63108-2810 | 2014-01-09 |
| 1770928343 | Shafonne Monique Smith | Nurse Practitioner | 4251 Forest Park Ave, Saint Louis, MO 63108-2810 | 2013-05-08 |
| 1336411404 | Summer Yvonne Boyer | Nurse Practitioner | 4251 Forest Park Ave, Ppslr-cwe Health Center, Saint Louis, MO 63108-7526 | 2012-02-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346851474 | Nigel Austen Thomas Cook | Social Worker | 4050 West Pine Blvd. Apt. 4118, St. Louis, MO 63108 | 2020-08-12 |
| 1467070011 | C2n Diagnostics, LLC | Clinical Medical Laboratory | 20 South Sarah Street, Saint Louis, MO 63108 | 2020-07-10 |
| 1609414358 | Kaylee Breitenbucher | Occupational Therapist | 4444 Forest Park Avenue, Msc 8505-94-01, St. Louis, MO 63108 | 2019-12-12 |
| 1114419546 | Activangels Home Health | Home Health | 4625 Lindell Blvd Ste 304, Saint Louis, MO 63108 | 2018-06-01 |
| 1215427349 | Heart To Heart Consolidated Home Care Service LLC | Home Health | 4625 Lindell Blvd Ste 200, Saint Louis, MO 63108 | 2018-05-15 |
| 1447755905 | Erin Virginia Adams | Student in an Organized Health Care Education/Training Program | 4355 Maryland Ave Apt 116, Saint Louis, MO 63108 | 2018-03-27 |
| 1033621172 | Roots Healthcare and Homes | In Home Supportive Care | 4300 Enright Ave, St. Louis, MO 63108 | 2017-10-30 |
| 1336661719 | House of Destiny Adult Day Care LLC | Clinic/Center | 4507 Olive Street, St Louis, MO 63108 | 2017-07-07 |
| 1003338492 | Khin Min Thu | Social Worker | 4236 Lindell Blvd., Suite 200, St Louis, MO 63108 | 2017-07-07 |
| 1679093967 | Together We Can Home Healthcare Services LLC | Home Health | 4144 Lindell Blvd Suite 221, Saint Louis, MO 63108 | 2017-06-27 |
| Find all providers in zip 63108 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417578873 | Saskia Naomi Chaskelson | Nurse Practitioner | 1309 Louisville Ave, Saint Louis, MO 63139-3421 | 2020-04-27 |
| 1902450695 | Erica Walter | Nurse Practitioner | 4590 Childrens Pl Fl 4, Saint Louis, MO 63110-1020 | 2019-07-31 |
| 1801305677 | Courtney E Turnbough | Nurse Practitioner | 621 S New Ballas Rd Ste 2002b, Saint Louis, MO 63141-8265 | 2017-09-25 |
| 1205126679 | Amanda S Mcintyre | Nurse Practitioner | 1027 Bellevue, Suite 205, Saint Louis, MO 63117-1811 | 2011-04-19 |
| 1447589049 | Elizabeth Cook | Nurse Practitioner | 615 S New Ballas Rd Ste G-2198, Saint Louis, MO 63141-8221 | 2009-12-10 |
| 1336478007 | Sara M Koenig | Nurse Practitioner | 621 S New Ballas Rd Ste 4017b, Saint Louis, MO 63141-8269 | 2009-12-09 |
| 1023252707 | Tram T Wallen | Nurse Practitioner | 1 Parkview Pl # 6800-p, Saint Louis, MO 63110-1038 | 2009-04-27 |
| 1396948162 | Kristen A Zysk | Nurse Practitioner | 12700 Southfork Rd # St.230, Saint Louis, MO 63128-3201 | 2007-06-07 |
| 1871657981 | Kristin Joy Wald | Nurse Practitioner | 10012 Kennerly Rd Ste 405, Saint Louis, MO 63128-2197 | 2006-12-21 |
| 1174607618 | Michelle Erin Burk | Nurse Practitioner | 3844 S Lindbergh Blvd Ste 235, Saint Louis, MO 63127 | 2006-10-24 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63108 |
Please comment or provide details below to improve the information on MR. GARY JOHN GARDNER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.