CRAIG JOSEPH GARDNER (NPI# 1053345934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053345934 |
| Entity Type | Individual |
| Full Name | CRAIG JOSEPH GARDNER |
| Credential | DO |
| Practice Address |
11 Industrial Blvd Suite 204 Paoli PA 19301 |
| Mailing Address |
11 Industrial Blvd Suite 204 Paoli PA 19301-1632 |
| Practice Telephone | 6106446251 |
| Practice Fax Number | 6106441440 |
| Mailing Telephone | 6106446251 |
| Mailing Fax Number | 6106441440 |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2018-08-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
OS012630 | PA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871026633 | Craig Gardner | Counselor | 4705 E Rancier Ave, Killeen, TX 76543-3913 | 2017-04-09 |
| 1831231000 | Craig Gardner | Massage Therapist | 220 Nw 4th St, High Springs, FL 32643 | 2007-02-13 |
| 1972619088 | Craig M Gardner | Anesthesiology | 120 N Oak St, Hinsdale, IL 60521-3829 | 2006-08-22 |
| Street Address |
11 INDUSTRIAL BLVD SUITE 204 |
| City | PAOLI |
| State | PA |
| Zip Code | 19301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780650465 | Surgical Specialists, P.C. | Surgery | 11 Industrial Blvd, Paoli Pointe Ste 102, Paoli, PA 19301-1632 | 2006-02-23 |
| 1487805230 | Suburban Audiology and Balance Center, LLC | Audiologist | 11 Industrial Blvd, Suite 102, Paoli, PA 19301-1632 | 2008-10-09 |
| 1295902823 | Great Valley Neurological Associates LLC | Psychiatry & Neurology | 11 Industrial Blvd, Suite 204, Paoli, PA 19301-1632 | 2008-05-13 |
| 1083812002 | Luis Blasco | Specialist | 11 Industrial Blvd, Suite 100, Paoli, PA 19301-1632 | 2007-07-11 |
| 1205960770 | Valerie W Godzieba | Nurse Practitioner | 11 Industrial Blvd, Suite 103, Paoli, PA 19301-1632 | 2007-03-15 |
| 1780742841 | Main Line Internal Medicine LLC | Internal Medicine | 11 Industrial Blvd, Suite 101, Paoli, PA 19301-1632 | 2006-12-04 |
| 1144396623 | Andrea Caprio | Physician Assistant | 11 Industrial Blvd, Paoli, PA 19301-1632 | 2006-11-28 |
| 1124120134 | Sara Kathleen Burelle | Internal Medicine | 11 Industrial Blvd, Suite 103, Paoli, PA 19301-1632 | 2006-09-01 |
| 1184633927 | Elana N. Kripke | Internal Medicine | 11 Industrial Blvd, Suite 101, Paoli, PA 19301-1632 | 2006-08-07 |
| 1831104496 | Becky A Souder | Family Medicine | 11 Industrial Blvd, Suite 103, Paoli, PA 19301-1632 | 2006-07-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588280333 | Mary Callery | Physical Therapy Assistant | 16 Industrial Blvd., Ste. 101, Paoli, PA 19301 | 2020-06-17 |
| 1871097519 | Daniel Malloy-good | Social Worker | 45 Darby Rd Ste E4, Paoli, PA 19301 | 2018-03-19 |
| 1306354774 | Patricia Obilo-azandegbe | Counselor | 30 S Valley Rd Ste 101, Paoli, PA 19301 | 2018-01-18 |
| 1275992877 | Jessica Bernard | Physical Therapist | 40 Darby Rd Ste 1, Paoli, PA 19301 | 2016-02-11 |
| 1730576364 | Ushma Sheth | Podiatrist | 250 W Lancaster Ave Ste 225, Paoli, PA 19301 | 2015-04-21 |
| 1619371432 | Miriam Leslie Brewer | Physical Therapist | 195 W Lancaster Ave #3, Paoli, PA 19301 | 2014-10-22 |
| 1447665393 | Matthew Rementer | Podiatrist | 254 West Lancaster Ave, Paoli, PA 19301 | 2014-06-29 |
| 1720490915 | Edward Anthony Romero | Surgery | 255 W Lancaster Ave Ste 332, Paoli, PA 19301 | 2014-05-22 |
| 1285053421 | Jose Ethan Pulido | Urology | 2 Industrial Blvd Bldg C Ste 120, Paoli, PA 19301 | 2014-04-15 |
| 1093065849 | Kathleen M Canfield | Physician Assistant | 11 Industrial Blvd., Ste 204, Paoli Pointe Med. Office Bldg, Paoli, PA 19301 | 2012-09-19 |
| Find all providers in zip 19301 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144635079 | Joseph Chenhang Li | Psychiatry & Neurology | 21 Industrial Blvd Ste 205, Paoli, PA 19301-1610 | 2014-06-30 |
| 1588942643 | Sudhir Aggarwal | Psychiatry & Neurology | 250 W Lancaster Ave Ste 220, Paoli, PA 19301-1751 | 2011-07-23 |
| 1508860990 | Thomas Hild Graham | Psychiatry & Neurology | 11 Industrial Blvd Ste 204, Paoli, PA 19301 | 2005-06-13 |
| 1295902823 | Great Valley Neurological Associates LLC | Psychiatry & Neurology | 11 Industrial Blvd, Suite 204, Paoli, PA 19301-1632 | 2008-05-13 |
| 1669535001 | Neurology Consultants | Psychiatry & Neurology | 250 W Lancaster Ave, Suite 250, Paoli, PA 19301-1743 | 2006-12-18 |
| 1588741557 | Leonard R Geiger Jr. | Psychiatry & Neurology | 250 W Lancaster Ave, Suite 250, Paoli, PA 19301 | 2006-11-01 |
| 1497783930 | Thomas H. Graham | Psychiatry & Neurology | 11 Industrial Blvd, Suite 204, Paoli, PA 19301-1620 | 2006-06-30 |
| 1336189901 | Neuro Care Associates, Inc. | Psychiatry & Neurology | 21 Industrial Blvd, Suite 205, Paoli, PA 19301 | 2006-06-08 |
| 1376594630 | Philip A Adelman | Psychiatry & Neurology | 21 Industrial Blvd, Suite 205, Paoli, PA 19301-1610 | 2006-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922624584 | Armstrong County Memorial Hospital | Psychiatry & Neurology | 500 Medical Arts Bldg Ste 510, Kittanning, PA 16201-7137 | 2020-06-19 |
| 1174149975 | Somerset Health Services, Inc. | Psychiatry & Neurology | 126 E Church St Ste 2300, Somerset, PA 15501-2272 | 2020-06-18 |
| 1730725771 | Jbj Investments LLC | Psychiatry & Neurology | 2170 Ferncroft Ln, Chester Springs, PA 19425-3846 | 2019-11-25 |
| 1619538865 | Unknown Azima Shaji | Psychiatry & Neurology | St. Luke's University and Health Network- Anderson, Medical Education Office- 1700, St. Luke's Blvd, Easton, PA 18045 | 2019-06-27 |
| 1629636790 | Catherine Rachel Craven | Psychiatry & Neurology | 1700 St Lukes Blvd Ofc, Easton, PA 18045-5670 | 2019-06-03 |
| 1073170569 | Charles P. Gennaula, M.d., P.C. | Psychiatry & Neurology | 100 Peasant Village Ln Ste 100, Rostraver Township, PA 15012-4333 | 2019-05-21 |
| 1902460876 | Pearlmed Pllc | Psychiatry & Neurology | 1510 Chester Pike Ste 160, Eddystone, PA 19022-1375 | 2019-04-26 |
| 1144787094 | Shobha Asthana Md PC | Psychiatry & Neurology | 100 Peasant Village Ln Ste 103, Rostraver Township, PA 15012-4333 | 2019-02-27 |
| 1972060176 | Ncv Diagnostics LLC | Psychiatry & Neurology | 1 Brown St Ste C, Philadelphia, PA 19123-3361 | 2019-02-23 |
| 1235609959 | Lower Merion Neurology, PC | Psychiatry & Neurology | 100 E Lancaster Ave Ste 161, Wynnewood, PA 19096-3427 | 2018-11-26 |
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| 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.