CHARLES CLIFFORD GARDNER JR.


Address: 3420 Buckeye Run, Ft Wayne, IN 46814-8972
Phone: 2604444613

CHARLES CLIFFORD GARDNER JR. (NPI# 1396825980) 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) 1396825980
Entity Type Individual
Full Name CHARLES CLIFFORD GARDNER JR.
Credential M.D.
Practice Address 3420 Buckeye Run
Ft Wayne
IN 46814-8972
Practice Telephone 2604444613
Mailing Telephone 2604444613
Enumeration Date 2006-10-17
Last Update Date 2010-02-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 208600000X Surgery E6360 TX Allopathic & Osteopathic Physicians
Y 208C00000X Colon & Rectal Surgery 35-049889 OH Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
OH 0675863 05

Other Providers CHARLES GARDNER

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1639521180 Charles N Gardner Physical Therapy Assistant 1056 Mine 10 Rd, Beccaria, PA 16616-9716 2016-07-08
1992010227 Charles Sperry Gardner Psychiatry & Neurology 409 Field Point Rd, Greenwich, CT 06830-7041 2010-08-11
1932237724 Charles Henry Gardner Chiropractor 418 94th Ave N, St Petersburg, FL 33702-2522 2007-03-01
1902316946 Charles Jacob Gardner Emergency Medicine 1600 S 20th Ave, Safford, AZ 85546-4011 2017-10-04
1790102093 Charles H Gardner Jr. Counselor 1012 Union St, Bangor, ME 04401-3060 2014-03-25
1720417090 Charles Joseph Gardner IIi Nurse Anesthetist, Certified Registered 401 W Greenlawn Ave, Lansing, MI 48910-2819 2013-11-06
1801953831 Charles Joseph Gardner Chiropractor 325 N Main St, Belton, TX 76513-3162 2007-01-02
1881763670 Charles William Gardner Jr. Family Medicine 4401 Ford Ave, Suite 250, Alexandria, VA 22302-1473 2006-11-07
1659328656 Charles Chesley Gardner Kinesiotherapist 1201 Broad Rock Blvd, Kt/pm&r/117, Richmond, VA 23249-0001 2006-05-27

Office Location

Street Address 3420 BUCKEYE RUN
City FT WAYNE
State IN
Zip Code 46814-8972

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1295256907 Kimberly Ann Bailey Social Worker 5310 Merchandise Dr., Fort Wayne, IN 46814 2017-07-03
1821229998 Back In Action Chiropractic Chiropractor 10443 Llinois Road, Fort Wayne, IN 46814 2009-08-06
1376789420 Richard Frederick Fox Radiology 6226 Devils Hollow Rd., Fort Wayne, IN 46814 2008-12-19
1225287998 George W. Bowers Urology 12002 Haddington Court, Fort Wayne, IN 46814 2008-09-17
1588831986 Xue Zhang Family Medicine 10515 Illimois Rd, Fort Wayne, IN 46814 2008-05-14
1245449172 Charles S Lindzy Anesthesiology 14104 Peddlers Ford, Fort Wayne, IN 46814 2007-05-21
1043338999 Aboite Township Fire Dept In Ambulance 11321 Aboite Center Rd, Fort Wayne, IN 46814 2007-03-27
1588748206 Lisa Renee Vachon Chiropractor 971 Chestnut Hills Pkwy, Ft Wayne, IN 46814 2006-10-25
1962586685 Daniel Vern Velliquette Chiropractor 971 Chestnut Hills Parkway, Fort Wayne, IN 46814 2006-10-25
1336255801 Erica L Walworth Marriage & Family Therapist 412 S Scott Rd, Fort Wayne, IN 46814 2006-08-21
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Taxonomy Information

Taxonomy Code 208C00000X
Grouping Allopathic & Osteopathic Physicians
Classification Colon & Rectal Surgery

Taxonomy Definition

A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Colon and Rectal Surgery, 2007. http://www.abcrs.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Colon and Rectal Surgery. Colon and rectal surgeons have the expertise to diagnose and often manage anorectal conditions such as hemorrhoids, fissures (painful tears in the anal lining), abscesses and fistulae (infections located around the anus and rectum) in the office setting. They also treat problems of the intestine and colon, and perform endoscopic procedures to evaluate and treat problems such as cancer, polyps (precancerous growths) and inflammatory conditions.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1083060222 Kathryn Freeman Colon & Rectal Surgery 355 Westfield Rd Ste 120, Noblesville, IN 46060-1442 2016-05-06
1598100323 William Oh Colon & Rectal Surgery 1215 Hadley Rd Ste 201, Mooresville, IN 46158 2013-05-07
1336482496 Mithun Mohana Shenoi Colon & Rectal Surgery 11104 Parkview Circle Drive Suite 320, Fort Wayne, IN 46845 2013-03-27
1568795409 Center for Colon and Rectal Care LLC Colon & Rectal Surgery 12012 Wood Glen Dr, Fort Wayne, IN 46814-4515 2009-09-10
1902065261 Sanjay Vijaya Thekkeurumbil Colon & Rectal Surgery 7430 N. Shadeland Ave, Suite 200, Indianapolis, IN 46250 2008-06-03
1457524522 Ben M Tsai Colon & Rectal Surgery 5255 E Stop 11 Rd Ste 250, Indianapolis, IN 46237 2008-04-09
1033399704 David T. Harrison, D.o.,p.c. Colon & Rectal Surgery 3520 Guion Rd Ste 307, Indianapolis, IN 46222-1672 2007-11-09
1134318892 Central Indiana Proctology PC Colon & Rectal Surgery 2315 W Jefferson St, Kokomo, IN 46901-4119 2007-10-18
1427081090 Central Indiana Proctology PC Colon & Rectal Surgery 250 E Harrison St, Martinsville, IN 46151-1510 2006-07-08
1720024615 Dalal Medical Corporation Colon & Rectal Surgery 9731 Prairie Ave, Highland, IN 46322-3616 2006-06-21
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Competitor

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City FT WAYNE
Zip Code 46814

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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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