PATRICK GARDNER (NPI# 1134726300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134726300 |
| Entity Type | Individual |
| Full Name | PATRICK GARDNER |
| Practice Address |
133 N River St Wilkes Barre PA 18711-0801 |
| Mailing Address |
3721 Alpine Dr Endwell NY 13760-2547 |
| Practice Telephone | 5702085940 |
| Mailing Telephone | 6077442356 |
| Enumeration Date | 2020-10-01 |
| Last Update Date | 2020-10-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
PA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | |
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | PA | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912974858 | Patrick Michael Gardner | Pathology | 3200 Pleasant Valley Rd, Department of Pathology, West Bend, WI 53095-9274 | 2006-02-28 |
| Street Address |
133 N RIVER ST |
| City | WILKES BARRE |
| State | PA |
| Zip Code | 18711-0801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205829777 | David P Marchetti Jr. | Specialist/Technologist | 133 N River St, Wilkes Barre, PA 18711-0800 | 2005-08-30 |
| 1861099038 | Joshua Tanner | Specialist/Technologist | 133 N River St, Wilkes Barre, PA 18711-0801 | 2020-10-01 |
| 1922611755 | Michael John Beljan | Specialist/Technologist | 133 N River St, Wilkes Barre, PA 18711-0800 | 2020-08-31 |
| 1619580867 | Alyssa Stetler | Specialist/Technologist | 133 N River St, Wilkes Barre, PA 18711-0800 | 2020-08-27 |
| 1881207033 | Alexis Katelynn Prowker | Specialist/Technologist | 133 N River St, Wilkes Barre, PA 18711-0800 | 2020-08-27 |
| 1316550569 | Sarah M Rustic | Specialist/Technologist | 133 N River St, Wilkes Barre, PA 18711-0800 | 2020-08-27 |
| 1225641665 | Bobby B Moyer | Specialist/Technologist | 133 N River St, Wilkes Barre, PA 18711-0800 | 2020-08-25 |
| 1043869662 | Emily Mary Bove | Student in an Organized Health Care Education/Training Program | 133 N River St, Wilkes Barre, PA 18711 | 2019-09-06 |
| 1740838184 | Molly Rose Michalik | Specialist/Technologist | 133 N River St, Wilkes Barre, PA 18711-0800 | 2019-08-29 |
| 1821646241 | Thomas Anthony Carson | Specialist/Technologist | 133 N River St, Wilkes Barre, PA 18711-0800 | 2019-08-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467924274 | Leeann Kayal | Nurse Practitioner | 111 East End Boulevard, Wilkes Barre, PA 18711 | 2018-12-19 |
| 1336661701 | Patricia Dworak | Occupational Therapist | 1175 East Mountain Boulevard, Wilkes-barre, PA 18711 | 2017-07-07 |
| 1992160352 | Hope Danishanko | Social Worker | 111 East End Blvd, Wilkes Barre, PA 18711 | 2015-12-29 |
| 1477962785 | Jennifer L. Heck | Physical Therapist | 1140 Route 315, Suite 207, Wilkes-barre, PA 18711 | 2014-08-12 |
| 1821338807 | Melinda Flaim | Physical Therapist | 1555 East End Blvd, Wilkes Barre, PA 18711 | 2013-02-27 |
| 1598900953 | Elizabeth Patricia Keating | Pharmacist | 1000 East Mountain Drive, Wilkes Barre, PA 18711 | 2008-12-12 |
| 1457433294 | Christopher William O'brien | Specialist/Technologist | King's College, 133 North River Street, Wilkes-barre, PA 18711 | 2006-10-20 |
| 1821197450 | Louis Jay Freedman | Obstetrics & Gynecology | Valley Medical Building, 3rd Floor, 1010 East Mountain Boulevard, Wilkes-barre, PA 18711 | 2006-09-21 |
| 1730282625 | Natalia N Belikova | Internal Medicine | 1111 East End Boulvard, Wilkesbarre, PA 18711 | 2006-09-06 |
| 1609883628 | Va Medical Center | General Acute Care Hospital | 1111 East End Blvd., Wilkes-barre, PA 18711 | 2006-08-02 |
| Find all providers in zip 18711 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003167271 | Julie H. Chu | Student in an Organized Health Care Education/Training Program | 3b Beaver Ct, Wilkes Barre, PA 18702-7892 | 2012-09-27 |
| 1902426711 | Belinda Sibanda | Student in an Organized Health Care Education/Training Program | 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0001 | 2020-04-22 |
| 1376172551 | John Francis Curtis Iv | Student in an Organized Health Care Education/Training Program | 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0001 | 2020-04-08 |
| 1043869662 | Emily Mary Bove | Student in an Organized Health Care Education/Training Program | 133 N River St, Wilkes Barre, PA 18711 | 2019-09-06 |
| 1235671512 | David Hicks Jr. | Student in an Organized Health Care Education/Training Program | 133 N River St, Wilkes Barre, PA 18711-0800 | 2016-11-17 |
| 1386194520 | Alexei Michaels | Student in an Organized Health Care Education/Training Program | 1111 E End Blvd, Wilkes Barre, PA 18711-0030 | 2016-10-12 |
| 1861949059 | Allison Butterfield | Student in an Organized Health Care Education/Training Program | 133 N River St, Wilkes Barre, PA 18711-0800 | 2016-09-06 |
| 1689121873 | Christina Nassaney | Student in an Organized Health Care Education/Training Program | 133 N River St, Wilkes Barre, PA 18711-0800 | 2016-09-06 |
| 1306393590 | Carmen Delia | Student in an Organized Health Care Education/Training Program | 133 N Main St, Wilkes Barre, PA 18701-2007 | 2016-09-06 |
| 1346797578 | Johnathan Christopher Marchena | Student in an Organized Health Care Education/Training Program | 133 N River St, Wilkes Barre, PA 18711-0800 | 2016-09-06 |
| Find all providers in WILKES BARRE | ||||
| City | WILKES BARRE |
| Zip Code | 18711 |
Please comment or provide details below to improve the information on PATRICK 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.