KELLY ROBERT GARDNER


Address: 3061 S Maryland Pkwy, Suite 102, Las Vegas, NV 89109-2298
Phone: 7027312888

KELLY ROBERT GARDNER (NPI# 1255319463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1255319463
Entity Type Individual
Full Name KELLY ROBERT GARDNER
Credential M.D.
Practice Address 3061 S Maryland Pkwy
Suite 102
Las Vegas
NV 89109-2298
Mailing Address 1 Independence Pt Ste 202
Greenville
SC 29615-4536
Practice Telephone 7027312888
Practice Fax Number 7026969289
Mailing Telephone 8774062916
Enumeration Date 2006-01-06
Last Update Date 2012-12-28
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0204X Radiology
Specialization: Vascular & Interventional Radiology
6324 NV Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NV 200290213 05
NV BLUE NV1309 01

Other Providers KELLY GARDNER

NPI Name Taxonomy Address Enumeration
1881071694 Kelly Crews Gardner Physical Therapy Assistant 53 Addie Way, Lynchburg, VA 24501-7255 2015-04-30
1245420520 Kelly Holloman Gardner Counselor 7165 Getwell Rd Bldg G, Southaven, MS 38672-9619 2007-08-01
1003325051 Kelly Ann Gardner Nurse Practitioner 600 Highland Ave, Madison, WI 53792 2017-09-21
1437562618 Kelly J Gardner Pediatrics Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114 2014-06-05
1629315239 Kelly Gardner Physician Assistant 13207 Ravenna Rd, Chardon, OH 44024-7032 2013-01-16
1821333659 Kelly Shannon Gardner Registered Nurse 455 Saint Michaels Dr, Santa Fe, NM 87505-7601 2012-12-05
1558623439 Kelly Martin Gardner Registered Nurse 1035 Creswell Ave, Shreveport, LA 71101-3917 2012-06-15
1164716593 Kelly Ann Gardner Anesthesiology 4502 Medical Dr, San Antonio, TX 78229-4402 2011-06-02
1295757524 Kelly Frances Gardner Speech-Language Pathologist 200 Somerset St, Millinocket, ME 04462-1258 2006-07-24

Office Location

Street Address 3061 S MARYLAND PKWY
SUITE 102
City LAS VEGAS
State NV
Zip Code 89109-2298

Providers in the same location

NPI Name Taxonomy Address Enumeration
1053394148 Larry F Cohler Thoracic Surgery (Cardiothoracic Vascular Surgery) 3061 S Maryland Pkwy, Suite 202, Las Vegas, NV 89109-2298 2005-11-22
1396365193 Jill Vanlandghen Chiropractor 3061 S Maryland Pkwy, Las Vegas, NV 89109-2298 2020-04-21
1356731640 Christina Paige Steiner Respiratory Therapist, Registered 3061 S Maryland Pkwy, Las Vegas, NV 89109-2298 2015-01-26
1700292513 William Smith, LLC Neurological Surgery 3061 S Maryland Pkwy, Suite 200, Las Vegas, NV 89109-2298 2014-07-01
1053670190 Veronica Marie Ibarra Nurse Practitioner 3061 S Maryland Pkwy, #101, Las Vegas, NV 89109-2298 2012-05-10
1013292481 Dustin D Van Orman Physician Assistant 3061 S Maryland Pkwy, Suite 200, Las Vegas, NV 89109-2298 2011-10-18
1295023885 Dianne Joyce Capili Yusi Pediatrics 3061 S Maryland Pkwy, Suite 101, Las Vegas, NV 89109-2298 2011-07-15
1902111792 Ryan Fred Simons Physician Assistant 3061 S Maryland Pkwy, Suite 200, Las Vegas, NV 89109-2298 2010-08-17
1568609881 The Medical Clinic, Pa Specialist 3061 S Maryland Pkwy, Suite 202, Las Vegas, NV 89109-2298 2009-01-08
1336396258 Kristin M Hamilton Physician Assistant 3061 S Maryland Pkwy, Suite 200, Las Vegas, NV 89109-6227 2008-08-21
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1942820816 Vivian Latoza Villasfer Technician 2770 South Maryland Parkway, Suite 205b, Las Vegas, NV 89109 2020-04-21
1235758236 Happy Life Home Health Services Inc Chore Provider 2770 S Maryland Pkwy Suite 205-b, Las Vegas, NV 89109 2020-04-10
1346890662 Jaylin Armour Technician 2770 S Maryland Pkwy Suite 108b Las Vegas, Nv 89109, Las Vegas, NV 89109 2019-09-18
1104475003 Jasmine Thomas Technician 2770 S Maryland Pkwy Suite 108 B-g Las Vegas, Nv 89109, Las Vegas, NV 89109 2019-09-04
1982258331 Melanee Gregory Technician 2770 S Maryland Okey Suite 108b, Suite 108b, Las Vegas, NV 89109 2019-07-24
1851877583 Eric Darnell Thompson Jr. Community/Behavioral Health 2556 Shrewood Street, Unit 21, Las Vegas, NV 89109 2018-07-16
1144717117 Emerging Vision Inc Technician/Technologist Mirage Hotel, 3400 Las Vegas Blvd S, Mirage Hotel, Las Vegas, NV 89109 2018-04-16
1013404110 Emerging Vision Inc Technician/Technologist Mandalay Bay Resort (lobby), 3950 Las Vegas Blvd S, Mandalay Bay Resort (lobby), Las Vegas, NV 89109 2018-04-16
1750881736 Amirelys Hernandez Diaz Technician 2770 S. Maryland Pkwy, Ste 108b-g, Las Vegas, NV 89109 2018-02-16
1972036663 Ashley Murray Registered Nurse 2700 S Las Vegas Blvd #1506, Las Vegas, NV 89109 2017-04-10
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Taxonomy Information

Taxonomy Code 2085R0204X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Vascular & Interventional Radiology

Taxonomy Definition

A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1346312642 Axiom Imaging of Las Vegas LLC Radiology 6460 Medical Center St, Ste. 150, Las Vegas, NV 89148-2406 2006-11-14
1265894208 He Xu Radiology 9260 W Sunset Rd Ste 201, Las Vegas, NV 89148-4903 2016-03-28
1740623818 Mark Barnett Johnson Radiology 2020 Palomino Ln Ste 100, Las Vegas, NV 89106-4894 2013-04-09
1407834435 Peter L Weidenfeld Radiology 3061 S Maryland Pkwy, Suite 102, Las Vegas, NV 89109-2298 2006-01-09
1366420556 Steven Henry Davis Radiology 3061 S Maryland Pkwy, Suite 102, Las Vegas, NV 89109-2298 2006-01-06

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1528589934 Omnivas Las Vegas LLC Radiology 3175 Saint Rose Pkwy Ste 121, Henderson, NV 89052-3507 2017-07-06
1891907085 Nadeer Pirani Radiology 1905 Mcdaniel St Ste 106, North Las Vegas, NV 89030-7170 2007-05-03
1548363070 Ralph Tinghan Ho Radiology 59 Damonte Ranch Pkwy Ste B104, Reno, NV 89521-1907 2006-09-07
1891271581 Vih Zeetser Pllc Radiology 375 N Stephanie St Ste 1011, Henderson, NV 89014-8901 2018-07-16
1619266632 Erik J. Maki Radiology 2874 N Carson St Ste 300, Carson City, NV 89706-1683 2011-03-30
1467472324 Thomas Barcia Radiology 1000 Locust St, Reno, NV 89502-2597 2006-07-20
1699763508 Eric Lawrence Goldberg Radiology 6490 S Mccarran Blvd, Ste 22, Reno, NV 89509-6102 2005-10-13

Competitor

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City LAS VEGAS
Zip Code 89109

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Dataset Information

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.

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