SAMANTHA GARDNER (NPI# 1053772954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053772954 |
| Entity Type | Individual |
| Full Name | SAMANTHA GARDNER |
| Other Name | SAMANTHA KELLOGG |
| Credential | CPNP-PC |
| Practice Address |
513 Hillery Rd Suite C Comanche OK 73529-1200 |
| Practice Telephone | 5804392000 |
| Practice Fax Number | 5804395669 |
| Mailing Telephone | 5804392000 |
| Mailing Fax Number | 5804395669 |
| Enumeration Date | 2016-03-19 |
| Last Update Date | 2016-03-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
109994 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053794537 | Samantha Gardner | Social Worker | 40 Pleasant St, Concord, NH 03301-4006 | 2015-07-02 |
| Street Address |
513 HILLERY RD SUITE C |
| City | COMANCHE |
| State | OK |
| Zip Code | 73529-1200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780781179 | Ryan Allen Woody | Pharmacist | 513 Hillery Rd, Suite B, Comanche, OK 73529-1200 | 2006-09-20 |
| 1912109869 | Toby Neal Thompson | Pharmacist | 513 Hillery Rd, Comanche, OK 73529-1200 | 2007-06-04 |
| 1770659948 | Comanche Rx Inc | Pharmacy | 513 Hillery Rd, Suite B, Comanche, OK 73529-1200 | 2006-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255517355 | William W Baker | Pharmacist | 211 Oak Main, Comanche, OK 73529 | 2008-01-18 |
| 1982713624 | Tommy Lynn Thompson | Pharmacist | 513 Hillary, Suite B, Comanche, OK 73529 | 2006-08-29 |
| 1427075498 | Comanche County Hospital Authority | Family Medicine | 513 Hilary, Suite C, Comanche, OK 73529 | 2006-07-16 |
| 1154431294 | Sharla Kay Carr | Pharmacist | 513 Hillary, Suite B, Comanche, OK 73529 | 2006-08-30 |
| 1003944513 | Duncan Regional Hospital, Inc. | Family Medicine | 303 N Highway 81, Comanche, OK 73529-1423 | 2007-02-28 |
| 1366504359 | Maureen Elizabeth Running | Nurse Practitioner | 303 N Rodeo Dr, Comanche, OK 73529-1423 | 2006-12-15 |
| 1528509163 | Duncan Regional Hospital, Inc | Clinic/Center | 303 N Highway 81, Comanche, OK 73529-1423 | 2017-03-15 |
| 1619113172 | Christine Crawford | Nurse Practitioner | 303 N Highway 81, Comanche, OK 73529-1423 | 2009-01-05 |
| 1528123874 | James Otha Wood Jr. | Family Medicine | 303 N Rodeo Dr, Comanche, OK 73529-1423 | 2006-12-27 |
| 1023138674 | William W Baker | Pharmacy | 211 Main Ave, Comanche, OK 73529-1443 | 2007-03-29 |
| Find all providers in zip 73529 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396383378 | Lindsey Lauren Givens | Nurse Practitioner | 17513 Aragon Ln, Oklahoma City, OK 73170-9209 | 2019-12-20 |
| 1801453493 | Anna Pauline Reed | Nurse Practitioner | 110 Nw 31st St, Suite 201, Lawton, OK 73505-6100 | 2019-05-20 |
| 1639631781 | April Keith | Nurse Practitioner | 11204 Katie Beth Cir, Oklahoma City, OK 73170-8403 | 2019-04-05 |
| 1861950735 | Michelle Kathleen Spehr | Nurse Practitioner | 3231 Healthplex Dr., Norman, OK 73072 | 2019-03-08 |
| 1740756840 | Darshi Wickrama Edirisooriya | Nurse Practitioner | 1001 N Florence Ave, Claremore, OK 74017-6207 | 2018-10-17 |
| 1922518232 | Bryan Marshall Tison | Nurse Practitioner | 2000 E 15th St Ste 400a, Edmond, OK 73013-6673 | 2017-10-02 |
| 1326566001 | Minor Pediatrics Kristie Minor Aprn-cnp Pllc | Nurse Practitioner | 29334 N 3950 Rd, Ochelata, OK 74051-2485 | 2017-09-01 |
| 1235667833 | Bobbie Renee Stamps | Nurse Practitioner | 18216 S 410 Rd, Hulbert, OK 74441-1832 | 2017-05-25 |
| 1467984781 | Lauryn Kathleen Trepp | Nurse Practitioner | 2800 W 91st St, Tulsa, OK 74132-3510 | 2017-03-28 |
| 1760922678 | Carissa Declerck | Nurse Practitioner | 1200 Childrens Ave Ste 2f, Oklahoma City, OK 73104-4637 | 2017-02-27 |
| Find all providers with the same taxonomy | ||||
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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.