ROBERT ANTHONY GARDNER (NPI# 1194717801) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194717801 |
| Entity Type | Individual |
| Full Name | ROBERT ANTHONY GARDNER |
| Credential | MD |
| Practice Address |
2410 19th St Se Rio Rancho NM 87124-4857 |
| Mailing Address |
Regional Admin Office 3411 N 5th Ave., Ste. 209 Phoenix AZ 85013-3812 |
| Practice Telephone | 5054524200 |
| Practice Fax Number | 5054524201 |
| Mailing Telephone | 6027890344 |
| Mailing Fax Number | 6027898389 |
| Enumeration Date | 2005-08-18 |
| Last Update Date | 2018-04-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | MD2005-0514 | NM | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 329525 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073001897 | Robert Andrew Gardner | Student in an Organized Health Care Education/Training Program | 230 Macnider Hall, 333 South Columbia Street, Chapel Hill, NC 27515 | 2018-04-26 |
| 1649720921 | Robert Gardner | Nutritionist | 645 Industrial Rd, Carlstadt, NJ 07072-1611 | 2016-10-10 |
| 1790040061 | Robert Gardner II | Counselor | 3251 W 85th Pl, 10336 South Western Ave, Chicago, IL 60652-3756 | 2012-07-11 |
| 1023325875 | Robert Ball Gardner | Audiologist | 6475 Wall St Ste 203, Colorado Springs, CO 80918-8341 | 2010-08-31 |
| 1083839302 | Robert B Gardner | Dentist | 9878 W Belleview Ave, Littleton, CO 80123-2101 | 2007-04-13 |
| 1023179850 | Robert S. Gardner | Internal Medicine | 525 College Ave, 211, Santa Rosa, CA 95404-4118 | 2006-12-13 |
| 1740375443 | Robert W Gardner | Family Medicine | 3150 Rogers Rd, Suite 101, Wake Forest, NC 27587-4195 | 2006-10-04 |
| 1295839470 | Robert William Gardner | Dentist | 4490 Indianola Ave., Columbus, OH 43214 | 2006-09-11 |
| 1346251436 | Robert E Gardner | Psychiatry & Neurology | 3250 Gordonville Rd Ste 450, Cape Girardeau, MO 63703-5031 | 2006-08-11 |
| 1932137387 | Robert Edward Gardner | Dentist | 1121 W Main St, Walnut Ridge, AR 72476-1000 | 2006-06-28 |
| Street Address |
2410 19TH ST SE |
| City | RIO RANCHO |
| State | NM |
| Zip Code | 87124-4857 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871087171 | Robert Patrick Sullivan | Physical Therapy Assistant | 2410 19th St Se, Rio Rancho, NM 87124-4857 | 2018-06-19 |
| 1295238418 | Cabezon Nursing and Rehab Center LLC | Skilled Nursing Facility | 2410 19th St Se, Rio Rancho, NM 87124-4857 | 2018-03-14 |
| 1942717962 | Brenda Tryon | Occupational Therapist | 2410 19th St Se, Rio Rancho, NM 87124-4857 | 2017-12-30 |
| 1215461629 | Jane-frances Shiti | Nurse Practitioner | 2410 19th St Se, Rio Rancho, NM 87124 | 2017-04-13 |
| 1619371200 | Rio At Rust Centre | Skilled Nursing Facility | 2410 19th St Se, Rio Rancho, NM 87124-4857 | 2014-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740895648 | Dallon Knight | Pharmacist | 1115 Nm-528 Se, Rio Rancho, NM 87124 | 2020-09-09 |
| 1447875133 | Paul D Phillip | Counselor | 1207 Golf Course Rd Ne, Suite C, Rio Rancho, NM 87124 | 2020-06-09 |
| 1093341810 | Clearsky Rehabilitation Hospital of Rio Rancho LLC | Rehabilitation Hospital | 2401 Westside Blvd, Rio Rancho, NM 87124 | 2020-03-13 |
| 1841840345 | Debra English | Technician | 2001 Yucca St Se, Rio Rancho, NM 87124 | 2019-09-17 |
| 1114589322 | Counseling Connections, LLC | Counselor | 2600 Istle Rd Ne, Rio Rancho, NM 87124 | 2019-07-08 |
| 1417414996 | Kimberly Lovette Lorenzini | Counselor | Rio Rancho Family Counseling, 1340 Monterrey Rd, Rio Rancho, NM 87124 | 2019-02-21 |
| 1225507197 | Speech and Language Possibilities, LLC | Audiologist | 273 Tigris Road Ne, Rio Rancho, NM 87124 | 2018-11-20 |
| 1063997823 | Cindy Pendrey, LLC | Clinic/Center | 2103 Golf Course Rd Se, Suite A, Rio Rancho, NM 87124 | 2018-09-27 |
| 1972094324 | Calmar Inc. | Durable Medical Equipment & Medical Supplies | 2003 Southern Blvd Ne, Suite 123, Rio Rancho, NM 87124 | 2018-05-22 |
| 1013404581 | New Mexico Dental Clinics LLC | Dentist | 1594 Sara Rd Se Ste C, Rio Rancho, NM 87124 | 2018-04-19 |
| Find all providers in zip 87124 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609141076 | Christina M Haaland | Internal Medicine | 1009 Golf Course Rd Se Ste 109, Rio Rancho, NM 87124 | 2012-03-18 |
| 1700934833 | Stephen Anthony Vaughn | Internal Medicine | 1760 Grande Boulevard Se, Rio Rancho, NM 87124 | 2007-01-08 |
| 1548331499 | Eugene F. Sun | Internal Medicine | 2300 Grande Blvd Se, Rio Rancho, NM 87124-1755 | 2006-11-13 |
| 1598733859 | Naishadh Ajitrai Mankad | Internal Medicine | 184 Unser Blvd Ne, Rio Rancho, NM 87124 | 2006-03-10 |
| 1891342994 | Center for Vein Restoration Nm LLC | Internal Medicine | 1790 Grande Blvd Se, Rio Rancho, NM 87124-1756 | 2019-08-22 |
| 1376022822 | Hospitalist Medicine Physicians of New Mexico -tcg LLC | Internal Medicine | 2400 Unser Blvd Se, Rio Rancho, NM 87124-4740 | 2018-08-07 |
| 1144774712 | Ebubechukwu Njemanze | Internal Medicine | 4005 High Resort Blvd Se, Rio Rancho, NM 87124-5906 | 2016-08-11 |
| 1629464862 | Mathew Theodore Ley | Internal Medicine | 3001 Broadmoor Blvd Ne, Rio Rancho, NM 87144-2100 | 2015-04-14 |
| 1710384581 | Manideep Gotur | Internal Medicine | 4005 High Resort Blvd Se, Rio Rancho, NM 87124-5906 | 2014-11-21 |
| 1033522685 | Azharuddin Mohammed Akbar Soudagar | Internal Medicine | 2400 Unser Blvd Se, Rio Rancho, NM 87124 | 2014-06-10 |
| Find all providers in RIO RANCHO | ||||
| City | RIO RANCHO |
| Zip Code | 87124 |
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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.