MICHAEL P GARDNER (NPI# 1164452595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164452595 |
| Entity Type | Individual |
| Full Name | MICHAEL P GARDNER |
| Credential | DO |
| Practice Address |
401 Matthew St Marietta OH 45750-1635 |
| Mailing Address |
Po Box 449 Marietta OH 45750-0449 |
| Practice Telephone | 7403761994 |
| Practice Fax Number | 7403761940 |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2020-08-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | 34008378 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2528429 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1106 Colegate Dr, Marietta, OH 457501323 | 7405682000 | 7405682094 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720690548 | Michael Gardner | Dentist | 7127 Winterwood Ln, Highland, CA 92346-5434 | 2020-08-21 |
| 1497266001 | Michael K Gardner | Counselor | 7515 Greenville Ave Ste 1000, Dallas, TX 75231-3852 | 2017-10-23 |
| 1902203011 | Michael Gardner | Non-emergency Medical Transport (VAN) | 15114 Walden Park Ct, Houston, TX 77049-1789 | 2014-12-04 |
| 1619239860 | Michael Gardner | Pharmacist | 1680 E Handel St, Meridian, ID 83646-4708 | 2012-06-13 |
| 1336299122 | Michael Gardner | Family Medicine | 633d Air Base Wing, Family Health Clinic, 77 Nealy Drive, Langley Afb, VA 23665 | 2007-01-12 |
| 1699798371 | Michael Raymond Gardner | Dentist | 1901 6th St Sw, Willmar, MN 56201-5104 | 2006-07-25 |
| 1497773774 | Michael Lee Gardner | Counselor | 4921 Royal Dr, Fort Worth, TX 76116-8827 | 2006-07-17 |
| 1295711109 | Michael J Gardner | Psychologist | 805 N Orange St, Butler, MO 64730 | 2005-12-22 |
| 1508866989 | Michael John Gardner | Chiropractor | 14 W Market St, Tiffin, OH 44883-2720 | 2005-07-28 |
| 1427410117 | Michael Winslow Gardner | Student in an Organized Health Care Education/Training Program | 200 Lothrop Street, S-553 Scaife Hall, Pittsburgh, PA 15213 | 2016-03-22 |
| Street Address |
401 MATTHEW ST |
| City | MARIETTA |
| State | OH |
| Zip Code | 45750-1635 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114922440 | Anthony V Goocey | Nurse Practitioner | 401 Matthew St, Emergency Dept, Marietta, OH 45750-1635 | 2005-06-14 |
| 1265046650 | Haley Pressley | Pharmacist | 401 Matthew St, Marietta, OH 45750-1635 | 2020-09-02 |
| 1609495811 | Tiffany Diane Rebholz | Respiratory Therapist, Registered | 401 Matthew St, Marietta, OH 45750-1699 | 2020-04-09 |
| 1316576903 | Pamela R Brearey | Student in an Organized Health Care Education/Training Program | 401 Matthew St, Ferguson Building, Marietta, OH 45750 | 2020-04-06 |
| 1053940155 | Spencer Ashcraft | Student in an Organized Health Care Education/Training Program | 401 Matthew St, Ferguson Building, Marietta, OH 45750 | 2020-04-02 |
| 1447889464 | Shaun Mcmillin | Student in an Organized Health Care Education/Training Program | 401 Matthew St, Ferguson Building, Marietta, OH 45750 | 2020-04-02 |
| 1528697505 | Raymond W Dobson | Student in an Organized Health Care Education/Training Program | 401 Matthew St, Ferguson Building, Marietta, OH 45750 | 2020-04-02 |
| 1023647088 | Alyssa M Gates | Student in an Organized Health Care Education/Training Program | 401 Matthew St, Ferguson Building, Marietta, OH 45750 | 2020-04-02 |
| 1013546076 | Elaine Stearney | Student in an Organized Health Care Education/Training Program | 401 Matthew St, Ferguson Building, Marietta, OH 45750 | 2020-04-02 |
| 1205490919 | Justin Cole Lyttle | Nurse Anesthetist, Certified Registered | 401 Matthew St, Marietta, OH 45750-1635 | 2019-04-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073111654 | Mary V Byrd | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 37 Sterling Rd, Marietta, OH 45750 | 2020-10-15 |
| 1356997522 | Jeffry Todd Arthur | Pharmacist | 401 Matthew Street Suite 100, Marietta, OH 45750 | 2019-08-14 |
| 1164965752 | Jennifer Ann Simmons | Counselor | 121 Putnam St, Marietta, OH 45750 | 2016-11-30 |
| 1811449010 | Kaylee Rebecca-ann Weihl | Counselor | 207 D Colegate Drive, Marietta, OH 45750 | 2016-11-04 |
| 1467802181 | Jody Alden | Registered Nurse | 342 Muskingum Dr., Marietta, OH 45750 | 2016-06-14 |
| 1073998944 | Rise A. Gibson | Dental Hygienist | 342 Muskingum Drive, Marietta, OH 45750 | 2015-07-21 |
| 1639559602 | Washington County Board of Developmental Dissabilities | Day Training, Developmentally Disabled Services | 1701 Colegate Dr., Marietta, OH 45750 | 2015-06-04 |
| 1902290406 | Irina Catanescu | Emergency Medicine | 401 Matthew Street, Emergency Department, Marietta, OH 45750 | 2015-03-23 |
| 1134520356 | Susan Jahn | Occupational Therapist | 1338a Colegate Dr, Marietta, OH 45750 | 2014-09-08 |
| 1740696087 | Melissa D Maston | Registered Nurse | Express Care - Marietta, 800 Pike St Ste 2, Marietta, OH 45750 | 2014-07-08 |
| Find all providers in zip 45750 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043744311 | William Shearin Jr. | Anesthesiology | 4048 Penhurst Dr, Marietta, GA 30062-6161 | 2017-04-13 |
| 1336304633 | Philip J Miehl | Anesthesiology | 1946 Hunters Bend Ct, Marietta, GA 30062-5396 | 2008-07-25 |
| 1154414068 | Gunjan Kelotra-jindia | Anesthesiology | 3747 Roswell Rd Ste 311, Marietta, GA 30062 | 2006-10-02 |
| 1386675296 | Henry Frysh | Anesthesiology | 2540 Windy Hill Rd, Marietta, GA 30067 | 2006-07-06 |
| 1578526166 | Niloofer Dalal | Anesthesiology | 3043 Tuscany Park Dr, Marietta, GA 30068-5313 | 2006-04-06 |
| 1912968413 | Cheryl Marie Taylor | Anesthesiology | 310 Kennestone Hospital Blvd, Marietta, GA 30060 | 2006-04-01 |
| 1720060668 | H David Sanusi | Anesthesiology | 2500 Dallas Hwy, Pmb 160 Ste 202, Marietta, GA 30064-7505 | 2005-11-16 |
| 1164418489 | Ambulatory Anesthesia of Atlanta, P C | Anesthesiology | 780 Canton Road, Suite 100, Marietta, GA 30060-7259 | 2005-09-22 |
| 1841285095 | Grace S Kim | Anesthesiology | 677 Church St Ne, Marietta, GA 30060-1101 | 2005-09-14 |
| 1538154083 | Donald Ray Cornutt Jr. | Anesthesiology | 1072 Woodruff Plantation Ct Se, Marietta, GA 30067-9100 | 2005-09-12 |
| Find all providers in MARIETTA | ||||
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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.