MARK R GARDNER (NPI# 1114055787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114055787 |
| Entity Type | Individual |
| Full Name | MARK R GARDNER |
| Credential | M.D. |
| Practice Address |
4321 Fir St Ste 313 East Chicago IN 46312-3049 |
| Mailing Address |
4321 Fir St Ste 313 St Catherine Occ Hlth East Chicago IN 46312-3049 |
| Practice Telephone | 2193927424 |
| Practice Fax Number | 2193927450 |
| Mailing Telephone | 2193927424 |
| Mailing Fax Number | 2193927450 |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2017-10-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 036068695 | IL | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 01059461A | IN | Allopathic & Osteopathic Physicians |
| Y | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
01059461A | IN | Allopathic & Osteopathic Physicians |
| N | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
036068695 | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750908265 | Mark Gardner | Pharmacist | 125 Water St, Newton, NJ 07860-1420 | 2020-06-30 |
| 1073604112 | Mark Steven Gardner | Social Worker | 1319 Vincent Pl, Mc Lean, VA 22101-3615 | 2006-09-27 |
| 1619938370 | Mark William Gardner | Dentist | 1239 State Road 229, Batesville, IN 47006-6804 | 2006-03-31 |
| 1336131473 | Mark A Gardner | Podiatrist | 453 Mclaws Cir, Suite 1, Williamsburg, VA 23185-5645 | 2005-08-16 |
| 1891797247 | Mark Gardner | Physician Assistant | 812 Miller Ave, Suite C, Sunnyside, WA 98944-2374 | 2005-08-15 |
| 1770132623 | Mark Edward Gardner | Counselor | 101 East Avenue, Erie, PA 16507 | 2019-09-04 |
| 1396279949 | Mark Gardner | Dentist | 1250 E Marshall St, Richmond, VA 23298-5051 | 2017-04-19 |
| 1225432354 | Mark Owen Gardner | Occupational Therapist | 505 E 3rd Ave Ste B, Spokane, WA 99202-1426 | 2014-10-17 |
| 1134531858 | Mark S Gardner | Chiropractor | 14000 Se Johnson Rd, Milwaukie, OR 97267-2316 | 2014-05-29 |
| 1467766022 | Mark Gardner | Orthopaedic Surgery | 1599 N Hermitage Rd, Hermitage, PA 16148-3180 | 2010-08-05 |
| Street Address |
4321 FIR ST STE 313 |
| City | EAST CHICAGO |
| State | IN |
| Zip Code | 46312-3049 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689905440 | St. Catherine Hospital Occupational Health | Clinic/Center | 4321 Fir St Ste 313, East Chicago, IN 46312-3049 | 2010-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578025896 | 219 Health Network Inc | Clinic/Center | 4320 First Street, Suite 211, East Chicago, IN 46312 | 2019-04-04 |
| 1932663051 | Melissa Lynn Del Rosario | Registered Nurse | St. Catherine Hospital, 4321 Fir St, East Chicago, IN 46312 | 2019-01-23 |
| 1851896013 | Scot Eric West | Registered Nurse | 4320 Fir St Unit 217, East Chicago, IN 46312 | 2018-03-28 |
| 1528598380 | Wellnes for Life | Clinic/Center | 1401 144th St, East Chicago, IN 46312 | 2017-06-14 |
| 1992116305 | Familia Dental Ec LLC | Dentist | 4624a Magoun Avenue, East Chicago, IN 46312 | 2014-05-20 |
| 1821415076 | Ericka Rouse | Counselor | 901 West Chicago Ave., East Chicago, IN 46312 | 2014-03-26 |
| 1568806057 | St. Catherine Hospital Inc. | Pharmacy | 4321 Fir St., East Chicago, IN 46312 | 2013-04-26 |
| 1275882185 | Planned Parenthood of Indiana East Chicago | Clinic/Center | 3931 Main Street, East Chicago, IN 46312 | 2012-09-06 |
| 1851417356 | Deborah Ann Duda | Nurse Practitioner | 1155 E Alexis, Toledo, OH 46312 | 2007-03-22 |
| 1255457826 | Major Hospital | Skilled Nursing Facility | 5025 Mccook Ave, East Chicago, IN 46312 | 2007-03-22 |
| Find all providers in zip 46312 | ||||
| Taxonomy Code | 2083X0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Occupational Medicine |
| Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235787425 | Deaconess Clinic Inc | Preventive Medicine | 4949 Healthy Way Ste D, Evansville, IN 47715-1180 | 2019-08-30 |
| 1871042077 | U.S. Healthworks Medical Group of Indiana, PC | Preventive Medicine | 4125 West Clara Lane, Suite 200, Muncie, IN 47304-5412 | 2016-09-28 |
| 1710300033 | St. Vincent Health Wellness and Preventive Care Institute, Inc. | Preventive Medicine | 6625 Network Way, #390, Indianapolis, IN 46278-1682 | 2014-01-22 |
| 1104263227 | Saligrama A Ranganath | Preventive Medicine | 1251 Eastport Centre Dr Ste B, Valparaiso, IN 46383-2904 | 2013-05-30 |
| 1174866156 | St. Vincent Hospital and Health Care Center, Inc. | Preventive Medicine | 4800 S 975 E, Zionsville, IN 46077-8252 | 2013-03-28 |
| 1114220589 | Scott Brian Edwards | Preventive Medicine | 50680 Pheasant Cove Dr, Granger, IN 46530-7583 | 2010-12-07 |
| 1265746689 | Floyd Edward Thurston | Preventive Medicine | 3310 E Mulberry Ct, Bloomington, IN 47401-2425 | 2010-07-27 |
| 1023278207 | Dorothy J. Lenzi | Preventive Medicine | 301 N Curry Pike, Bloomington, IN 47404-2502 | 2008-06-11 |
| 1184890212 | St. Francis Hospital and Health Centers | Preventive Medicine | 315 N Dan Jones Rd, Suite 120, Plainfield, IN 46168-2817 | 2008-05-08 |
| 1790969467 | St. Vincent Madison County Health System, Inc. | Preventive Medicine | 7408 W State Road 28, Elwood, IN 46036-8600 | 2007-12-18 |
| Find all providers with the same taxonomy | ||||
| City | EAST CHICAGO |
| Zip Code | 46312 |
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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.