DR. GARY ROSCOE GARDNER (NPI# 1083620041) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083620041 |
| Entity Type | Individual |
| Full Name | DR. GARY ROSCOE GARDNER |
| Credential | D.C |
| Practice Address |
13106 Shelbyville Rd Louisville KY 40243-1572 |
| Mailing Address |
5213 Windy Willow Dr Louisville KY 40241-1360 |
| Practice Telephone | 5022530025 |
| Practice Fax Number | 5022539933 |
| Mailing Telephone | 5022416730 |
| Mailing Fax Number | 5022539933 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 4707 | KY | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | CIGNA PROVIDER NUMBER | 3428389 | 01 |
| KY | AETNA PROVIDER NUMBER | 7135162 | 01 |
| KY | UNITED HEALTH CARE NUMBER | 650593 | 01 |
| KY | BCBS PROVIDER NUMBER | 000000347132 | 01 |
| KY | 50005767 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457679862 | Gary Dean Gardner | Dentist | 1301 West Gore Blvd, Suite 2, Lawton, OK 73501 | 2010-05-10 |
| 1003104993 | Gary John Gardner | Nurse Practitioner | 4251 Forest Park Ave, Saint Louis, MO 63108-2810 | 2011-07-13 |
| 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 |
13106 SHELBYVILLE RD |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40243-1572 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164613659 | Middletown Chiropractic | Chiropractor | 13106 Shelbyville Rd, Louisville, KY 40243-1572 | 2007-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942801949 | Pulsemer Health LLC | Clinic/Center | 11408 Shelbyville Rd, Suite 2, Louisville, KY 40243 | 2020-11-05 |
| 1316563372 | Molly Elizabeth Fitzgerald | Counselor | 350 Evergreen Road Suite 102, Louisville, KY 40243 | 2020-06-24 |
| 1215575410 | Eric Wolfe | Pharmacist | 1320 Snake Foot Drive, Apt 204, Louisville, KY 40243 | 2019-12-18 |
| 1417501974 | Joshua Bynum | Physical Therapist | 12935 Shelbyville Road Ste 106, Louisville, KY 40243 | 2019-08-01 |
| 1376013342 | Carmen Sue Frederick | Psychologist | 731 Speckman Road, Louisville, KY 40243 | 2018-12-03 |
| 1205366846 | Triple Crown Dentistry | Dentist | 904 Lily Creek Road, Suite 101, Louisville, KY 40243 | 2017-06-15 |
| 1659811636 | Jean Steltenpohl | Dietitian, Registered | 518 Cheskirk Pl, Louisville, KY 40243 | 2017-02-24 |
| 1548555287 | Jonathan D Senters | Pharmacist | 12975 Shelbyville Road, T-2728, Middletown, KY 40243 | 2011-06-10 |
| 1023339835 | Ashley Rose Havens | Speech-Language Pathologist | 11510 Main Street, Louisville, KY 40243 | 2010-06-15 |
| 1801110424 | Shawna L. Kauffman | Family Medicine | 12955 Shelbyville Rd Ste 2, Louisville, KY 40243 | 2010-03-25 |
| Find all providers in zip 40243 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124650668 | Christina Ann Schlesinger | Chiropractor | 108 Cannons Ln, Louisville, KY 40206-2725 | 2020-02-12 |
| 1801438064 | Life Alive Chiropractic LLC | Chiropractor | 245 Century Cir Ste 105, Louisville, CO 80027-1740 | 2019-10-09 |
| 1689215402 | Iroquois Injury Care Chiropractic Center Psc | Chiropractor | 5324 S 3rd St Ste 102, Louisville, KY 40214-2690 | 2019-10-02 |
| 1801448675 | Olivia Trainor | Chiropractor | 232 Mccaslin Blvd Apt 203, Louisville, CO 80027-2915 | 2019-07-11 |
| 1629638648 | Clear View Chiropractic, Pllc | Chiropractor | 727 Speckman Rd, Louisville, KY 40243-1876 | 2019-06-20 |
| 1902461692 | Louisville Injury Clinics, Inc | Chiropractor | 4400 Breckenridge Lane, Suite 102, Louisville, KY 40218 | 2019-05-08 |
| 1255890901 | Emily Ann Boyich | Chiropractor | 1075 E South Boulder Rd Ste 110, Louisville, CO 80027-2557 | 2019-03-12 |
| 1952868390 | Dr. Matt Isner, Dc, Pllc | Chiropractor | 912 Lily Creek Rd Ste 200, Louisville, KY 40243-2815 | 2019-02-21 |
| 1326535238 | Optimum Health Center | Chiropractor | 9913 Shelbyville Rd Ste 102, Louisville, KY 40223-2907 | 2018-04-16 |
| 1205339686 | Fall City Chiropractic | Chiropractor | 3050 W Broadway Ste F, Louisville, KY 40211-1475 | 2018-03-13 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40243 |
Please comment or provide details below to improve the information on DR. GARY ROSCOE 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.