DR. ERIN SCOTT GARDNER (NPI# 1285630061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285630061 |
| Entity Type | Individual |
| Full Name | DR. ERIN SCOTT GARDNER |
| Credential | M.D. |
| Practice Address |
9717 Landmark Parkway Dr Ste 115 Saint Louis MO 63127-1628 |
| Mailing Address |
Po Box 270686 Saint Louis MO 63127-0686 |
| Practice Telephone | 3148497546 |
| Practice Fax Number | 3148497558 |
| Mailing Telephone | 3148497546 |
| Mailing Fax Number | 3148497558 |
| Enumeration Date | 2005-06-25 |
| Last Update Date | 2010-02-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 2001005039 | MO | Allopathic & Osteopathic Physicians |
| N | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
2001005039 | MO | Allopathic & Osteopathic Physicians |
| N | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
2001005039 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | BLUE CROSS BLUE SHIELD MO | 152349 | 01 |
| MO | TRICARE | 364447622 63703 A001 | 01 |
| MO | RR MEDICARE - CAPE OFFICE | 070016411 | 01 |
| MO | UNITED HEALTHCARE | 364447622 | 01 |
| MO | RR MEDICARE - STL OFFICE | 070016410 | 01 |
| MO | FIRST HEALTH | 36-4447622 | 01 |
| MO | AETNA | 36-4447622-71631 | 01 |
| MO | CIGNA | 364447622 | 01 |
| MO | RR MEDICARE | 3644476220001 | 01 |
| MO | MERCY | 36-4447622 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861941023 | Erin Gardner | Registered Nurse | 4115 Stillwater Ave, Cutchogue, NY 11935-2449 | 2016-09-29 |
| 1578112124 | Erin Kelle Gardner | Counselor | 520 Cobb St, Cadillac, MI 49601-2588 | 2019-09-06 |
| 1730544495 | Erin Gardner | Counselor | 2301 Glenwood Ave, Joliet, IL 60435-5481 | 2015-12-23 |
| 1760730154 | Erin L Gardner | Nurse Anesthetist, Certified Registered | 15790 Paul Vega Md Dr, Anesthesia Department, Hammond, LA 70403-1434 | 2012-08-16 |
| 1285938878 | Erin Elizabeth Gardner | Rehabilitation Practitioner | 4285 N Rancho Dr, Suite 130, Las Vegas, NV 89130-3446 | 2010-12-22 |
| 1003140393 | Erin Gardner | Physical Therapy Assistant | 13011 Summerfield Square Dr, Riverview, FL 33578-7402 | 2009-09-21 |
| Street Address |
9717 LANDMARK PARKWAY DR STE 115 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63127-1628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801430442 | Sophai Thach | Nurse Practitioner | 9717 Landmark Parkway Dr, Saint Louis, MO 63127-1628 | 2019-11-06 |
| 1588110480 | Derek Christopher Braddix | Nurse Practitioner | 9717 Landmark Parkway Dr, Saint Louis, MO 63127-1628 | 2016-08-30 |
| 1609242619 | The Health & Wellness Center for Men, LLC | Nurse Practitioner | 9717 Landmark Parkway Dr, Suite 115, Saint Louis, MO 63127-1628 | 2015-08-13 |
| 1568796514 | Victoria Dean Pannett | Counselor | 9717 Landmark Parkway Dr, Suite 208, Saint Louis, MO 63127-1628 | 2009-09-23 |
| 1982897450 | Aesthetic Dermatologic Surgery | Dermatology | 9717 Landmark Parkway Dr, Suite 115, Saint Louis, MO 63127-1628 | 2007-08-19 |
| 1750599841 | Mary Jo Anne Wagner | Physical Therapist | 9717 Landmark Parkway Dr, #216, Saint Louis, MO 63127-1628 | 2007-05-20 |
| 1740405547 | Thomas E Gaegiula, D.c., P.C. | Chiropractor | 9717 Landmark Parkway Dr, Suite 216, Saint Louis, MO 63127-1628 | 2007-04-16 |
| 1720101215 | Shawn P. Reiter D.c.p.c. | Chiropractor | 9717 Landmark Parkway Dr, Suite 216, Saint Louis, MO 63127-1628 | 2007-04-09 |
| 1457487100 | Shawn Reiter | Chiropractor | 9717 Landmark Parkway Dr, 216, Saint Louis, MO 63127-1628 | 2007-02-26 |
| 1215072640 | Thomas Edward Gargiula | Chiropractor | 9717 Landmark Parkway Dr, Suite 216, Saint Louis, MO 63127-1628 | 2007-02-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730698374 | Advanced Surgical Center of Sunset Hills LLC | Clinic/Center | 4594 S Lindbergh Blvd, Saint Louis, MO 63127 | 2017-09-27 |
| 1811382179 | Robert Paul Hintze | Dentist | 3555 Sunset Office Dr Ste 210, Saint Louis, MO 63127 | 2015-04-03 |
| 1639560782 | Bwell Pharmacy LLC | Pharmacy | 12128 Gravois Road, St.louis, MO 63127 | 2015-02-11 |
| 1043612773 | Braham Dev Dewan | Internal Medicine | 9917 Grandview Forest Court, Saint Louis, MO 63127 | 2014-09-25 |
| 1639518673 | Jonathan Yoon | Otolaryngology | 9701 Landmark Parkway Dr Ste 201, Saint Louis, MO 63127 | 2013-06-24 |
| 1639515315 | Kathleen Mary Lowe | Internal Medicine | 3844 S Lindbergh Blvd Ste 120, Saint Louis, MO 63127 | 2013-05-21 |
| 1366782088 | Sunset Hills Family Chiropractic LLC | Clinic/Center | 4600 South Lindbergh Ave, Suite 3, St. Louis, MO 63127 | 2013-02-15 |
| 1063743300 | John Ralph Firth | Dentist | 3890 So. Lindbergh Blvd., Suite 115, Sunset Hills, MO 63127 | 2010-01-27 |
| 1174762850 | Antonio I Longrais | Dentist | 4600 S. Lindbeigh 63127, St. Louis, MO 63127 | 2009-02-19 |
| 1447439716 | George D Bankhead Dds Ms PC | Dentist | 3890 S Lindbergh Blvd, Suite 115, Sunset Hills, MO 63127 | 2007-11-02 |
| Find all providers in zip 63127 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922605906 | Deluxe Dermatology LLC | Dermatology | 1034 S Brentwood Blvd Ste 1000, Saint Louis, MO 63117-1210 | 2020-10-03 |
| 1417597923 | Anna Marie Aiazzi | Dermatology | 10012 Kennerly Rd Ste 401, Saint Louis, MO 63128-2197 | 2020-01-13 |
| 1821482373 | David Cotter | Dermatology | 9450 Minerva Ave, Saint Louis, MO 63114-3910 | 2015-03-23 |
| 1710320767 | Mallory Shiver Abate | Dermatology | 1755 S Grand Blvd Dept of Dermatology, Saint Louis, MO 63104-1540 | 2013-04-09 |
| 1689935728 | Rebecca Joy Chibnall | Dermatology | 5225 Mid America Plz Ste 2300, Ste 2300, Saint Louis, MO 63129-0002 | 2012-06-05 |
| 1285928697 | Urvi Patel | Dermatology | 522 N New Ballas Rd Ste 316, Ste 316, Saint Louis, MO 63141-6840 | 2011-06-02 |
| 1235428582 | Hala Fatima Adil | Dermatology | 2315 Dougherty Ferry Rd Ste 200b, Slucare Dermatology, Saint Louis, MO 63122-3383 | 2011-04-06 |
| 1376852087 | Michael Slade Stratton | Dermatology | 2325 Dougherty Ferry Rd Ste 201, Saint Louis, MO 63122-3356 | 2010-09-29 |
| 1255643813 | Sarah Alison Finger Basak | Dermatology | 12855 N 40 Dr Ste 180, Saint Louis, MO 63141-8657 | 2010-07-11 |
| 1285835454 | Nita Kohli | Dermatology | 4901 Forest Park Ave Ste 502, Ste 502, Saint Louis, MO 63108-1402 | 2007-05-29 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63127 |
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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.