DR. DEBRA GARDNER (NPI# 1124056957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124056957 |
| Entity Type | Individual |
| Full Name | DR. DEBRA GARDNER |
| Credential | M.D. |
| Practice Address |
3290 Dauphin St Suite 301 Mobile AL 36606-4062 |
| Practice Telephone | 2514355437 |
| Practice Fax Number | 2514356744 |
| Mailing Telephone | 2514355437 |
| Mailing Fax Number | 2514356744 |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2013-01-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
16546 | AL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487079695 | Debra Gardner | Social Worker | 999 Asylum Ave, Hartford, CT 06105-2416 | 2014-02-25 |
| 1811144835 | Debra Lee Gardner | Nurse Practitioner | 575 Copeland Mill Rd, Suite 1d, Westerville, OH 43081-8977 | 2008-08-20 |
| 1184832248 | Debra Gardner | Family Medicine | 11245 Huron St, Westminster, CO 80234-2806 | 2007-05-20 |
| 1952364960 | Debra T Gardner | Nurse Anesthetist, Certified Registered | 119 Belmont St, Worcester, MA 01605-2903 | 2006-04-10 |
| Street Address |
3290 DAUPHIN ST SUITE 301 |
| City | MOBILE |
| State | AL |
| Zip Code | 36606-4062 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649235805 | Infirmary Hospice Care Inc | Hospice Care, Community Based | 3290 Dauphin St, Suite 505, Mobile, AL 36606-4062 | 2006-04-19 |
| 1932732229 | Kellie Stroud Garrett | Nurse Practitioner | 3290 Dauphin St, Mobile, AL 36606-4062 | 2020-02-15 |
| 1841609724 | Sean Allison Md PC | Ophthalmology | 3290 Dauphin St, Suite 401, Mobile, AL 36606-4062 | 2014-08-05 |
| 1457652430 | Sean Hendricks Md PC | Ophthalmology | 3290 Dauphin St, Suite 401, Mobile, AL 36606-4062 | 2010-11-08 |
| 1275850885 | Peter Zloty PC | Ophthalmology | 3290 Dauphin St, Suite 401, Mobile, AL 36606-4053 | 2010-04-23 |
| 1972798213 | Elizabeth S Lewis | Nurse Practitioner | 3290 Dauphin St, Mobile, AL 36606-4062 | 2007-09-10 |
| 1841363355 | Paul Taupeka Md PC | Ophthalmology | 3290 Dauphin St, Suite 401, Mobile, AL 36606-4062 | 2006-11-15 |
| 1366526691 | Alabama Retina Specialists, PC | Ophthalmology | 3290 Dauphin St, Suite 401, Mobile, AL 36606-4062 | 2006-10-24 |
| 1356353221 | Hearing Things, In. | Audiologist | 3290 Dauphin St, Suite 504, Mobile, AL 36606-4062 | 2006-08-12 |
| 1578593653 | Henry Wade Faulkner | Ophthalmology | 3290 Dauphin St, Suite 401, Mobile, AL 36606-4062 | 2006-07-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982216388 | Kaitlyn Culotta Dozier | Student in an Organized Health Care Education/Training Program | 936 Grant Park Drive, Mobile, AL 36606 | 2020-08-18 |
| 1902466758 | Gulf Coast Totalcare | Case Management | 3280 Dauphin Street, Building C, Suite 1, Mobile, AL 36606 | 2019-06-14 |
| 1023581246 | Elizabeth Fair | Psychologist | 3168 Midtown Park S Ste E, Mobile, AL 36606 | 2019-01-10 |
| 1962987420 | Asra Bashir | Pharmacist | 101 East Interstate 65 Service Rd S, Mobile, AL 36606 | 2018-10-01 |
| 1902398274 | Tunisia London | Social Worker | 601 Bel Air Blvd Ste 411, Mobile, AL 36606 | 2018-06-03 |
| 1962925677 | Tasheka Janine Scott I | Nurse's Aide | 629 Crenshaw Street, Mobile, AL 36606 | 2017-07-25 |
| 1295128189 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 1450 Tingle Circle West, Mobile, AL 36606 | 2015-03-17 |
| 1437441623 | Julia Marco Williams | Counselor | 605 Bel Air Blvd Ste 33, Mobile, AL 36606 | 2011-05-06 |
| 1235363516 | Jenny M Neese | Dietitian, Registered | 2504 Dauphin Street, Suite J, Mobile, AL 36606 | 2009-05-14 |
| 1609000223 | Bay Area Nutrition, Inc | Dietitian, Registered | 2029-b Airport Blvd, Suite 195, Mobile, AL 36606 | 2009-05-11 |
| Find all providers in zip 36606 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285960674 | Just Kidz Medical LLC | Pediatrics | 5466 Old Shell Rd, Ste. A, Mobile, AL 36608-3046 | 2009-10-20 |
| 1205905361 | Imc-pediatric & Adolescent Medicine, LLC | Pediatrics | 4013 Airport Blvd Ste C, Mobile, AL 36608-2201 | 2006-11-06 |
| 1629028642 | Carmel Health Network | Pediatrics | 1653 Springhill Ave, Mobile, AL 36604-1404 | 2006-05-11 |
| 1396776050 | Joseph L Stadther | Pediatrics | 820 University Blvd S, Suite 1 B, Mobile, AL 36609-7858 | 2006-07-05 |
| 1316975279 | Mary S Wells | Pediatrics | 3290 Dauphin St, Suite 301, Mobile, AL 36606-4062 | 2006-06-29 |
| 1487682258 | James B Harrell | Pediatrics | 3290 Dauphin St, Suite 301, Mobile, AL 36606-4062 | 2006-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154810224 | Kids Clinic Pediatric and Adolescent Medicine | Pediatrics | 101 Stephen J White Memorial Blvd, Talladega, AL 35160-2106 | 2018-05-04 |
| 1023452406 | Samantha Veronica Hill | Pediatrics | The University of Alabama At Birmingham, 1600 5th Ave South, Birmingham, AL 35233 | 2013-04-29 |
| 1508011297 | Marshall Medical Center South Pediatric Hospital Services | Pediatrics | 227 Brittany Rd, Guntersville, AL 35976-5766 | 2008-11-21 |
| 1427252766 | Medpeds of Dothan Inc | Pediatrics | 318 Westgate Pkwy Ste 2, Dothan, AL 36303-2963 | 2007-06-12 |
| 1295871556 | Evelyn Simpkins Evans | Pediatrics | Health Services, Inc, 1845 Cherry Street, Montgomery, AL 36107-0365 | 2007-01-30 |
| 1033276035 | Brenda Layton Mcgivern | Pediatrics | 300 W Pettus St, Demopolis, AL 36732-2830 | 2007-01-02 |
| 1063511582 | Adolescent & Pediatric Associates | Pediatrics | 2611 Woodley Park Dr, Montgomery, AL 36116-3834 | 2006-09-21 |
| 1588683262 | Milton Stanhope Brasfield IIi | Pediatrics | 105 Hwy 80 East, Suite 205, Demopolis, AL 36732 | 2006-07-19 |
| 1659329191 | James Wesley Rabon | Pediatrics | 420 Cotton Gin Rd, Montgomery, AL 36117-3557 | 2006-05-05 |
| 1821077413 | Richard Mcconnell Freeman | Pediatrics | 2901 Corporate Park Dr, Opelika, AL 36801-7283 | 2006-01-11 |
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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.