MARK A GARDNER (NPI# 1336131473) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336131473 |
| Entity Type | Individual |
| Full Name | MARK A GARDNER |
| Credential | DPM |
| Practice Address |
453 Mclaws Cir Suite 1 Williamsburg VA 23185-5645 |
| Practice Telephone | 7572203311 |
| Practice Fax Number | 7572209070 |
| Mailing Telephone | 7572203311 |
| Mailing Fax Number | 7572209070 |
| Enumeration Date | 2005-08-16 |
| Last Update Date | 2008-07-07 |
| NPI Deactivation Date | 03/22/2006 |
| NPI Reactivation Date | 2006-03-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0000X |
Podiatrist Specialization: Sports Medicine |
0103000917 | VA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | ANTHEM BC/BS | 115888 | 01 |
| VA | SENTARA | 65326 | 01 |
| VA | CIGNA | 1215628 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750908265 | Mark Gardner | Pharmacist | 125 Water St, Newton, NJ 07860-1420 | 2020-06-30 |
| 1114055787 | Mark R Gardner | Internal Medicine | 4321 Fir St Ste 313, East Chicago, IN 46312-3049 | 2007-03-02 |
| 1073604112 | Mark Steven Gardner | Social Worker | 1319 Vincent Pl, Mc Lean, VA 22101-3615 | 2006-09-27 |
| 1619938370 | Mark William Gardner | Dentist | 1239 State Road 229, Batesville, IN 47006-6804 | 2006-03-31 |
| 1891797247 | Mark Gardner | Physician Assistant | 812 Miller Ave, Suite C, Sunnyside, WA 98944-2374 | 2005-08-15 |
| 1770132623 | Mark Edward Gardner | Counselor | 101 East Avenue, Erie, PA 16507 | 2019-09-04 |
| 1396279949 | Mark Gardner | Dentist | 1250 E Marshall St, Richmond, VA 23298-5051 | 2017-04-19 |
| 1225432354 | Mark Owen Gardner | Occupational Therapist | 505 E 3rd Ave Ste B, Spokane, WA 99202-1426 | 2014-10-17 |
| 1134531858 | Mark S Gardner | Chiropractor | 14000 Se Johnson Rd, Milwaukie, OR 97267-2316 | 2014-05-29 |
| 1467766022 | Mark Gardner | Orthopaedic Surgery | 1599 N Hermitage Rd, Hermitage, PA 16148-3180 | 2010-08-05 |
| Street Address |
453 MCLAWS CIR SUITE 1 |
| City | WILLIAMSBURG |
| State | VA |
| Zip Code | 23185-5645 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457482622 | Williamsburg Foot & Ankle Specialists P.C. | Podiatrist | 453 Mclaws Cir, Suite 1, Williamsburg, VA 23185-5645 | 2007-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215579412 | Marian Shearin | Technician | 112 Indian Circle, Williamsburg, VA 23185 | 2019-10-09 |
| 1093363251 | 1st Choice In-homecare, Inc. | Durable Medical Equipment & Medical Supplies | 161-a John Jefferson Road Ste 101, Williamsburg, VA 23185 | 2019-08-30 |
| 1265939482 | Michelle Antionette Hill | Counselor | 1769 Jamestown Rd Ste 107, Williamsburg, VA 23185 | 2018-04-13 |
| 1114437480 | Kimberly Anne Allan | Orthotic Fitter | 1811 Jamestown Rd., Williamsburg, VA 23185 | 2017-10-02 |
| 1881115590 | Shawn Patrick Mcnulty | Counselor | Colonial Behavioral Health, 1657 Merrimac Trail, Williamsburg, VA 23185 | 2017-07-03 |
| 1790215986 | Sea Change Therapy Pllc | Community/Behavioral Health | 3308 Ash Vw, Williamsburg, VA 23185 | 2017-06-19 |
| 1316479322 | Maureen Bounds | Pharmacist | 230 Gooch Dr, Williamsburg, VA 23185 | 2017-03-29 |
| 1386196970 | Joshua Desilva | Psychologist | 240 Gooch Drive, 2nd Floor, Williamsburg, VA 23185 | 2016-10-29 |
| 1750837001 | Ellen Lerose | Pharmacist | 5601-b Richmond Road, Williamsburg, VA 23185 | 2016-08-28 |
| 1194173922 | Michael C. Shuck, Dds PC | Dentist | 1480 Quarterpath Rd, Ste 2a, Williamsburg, VA 23185 | 2016-06-02 |
| Find all providers in zip 23185 | ||||
| Taxonomy Code | 213ES0000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Sports Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215282652 | Alexander C Mount | Podiatrist | 1465 Johnston Willis Dr, North Chesterfield, VA 23235-4730 | 2012-07-23 |
| 1780978296 | Mahmoud Awni Salem | Podiatrist | 1934 Braeburn Dr, Salem, VA 24153-7302 | 2011-06-01 |
| 1194935163 | Hsin-yi Steve Hsu | Podiatrist | 8301 Arlington Blvd, Suite 508, Fairfax, VA 22031-2902 | 2007-05-22 |
| City | WILLIAMSBURG |
| Zip Code | 23185 |
Please comment or provide details below to improve the information on MARK A 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.