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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | 0675863 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
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 |
Street Address |
3420 BUCKEYE RUN |
City | FT WAYNE |
State | IN |
Zip Code | 46814-8972 |
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 |
Find all providers in zip 46814 |
Taxonomy Code | 208C00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Colon & Rectal Surgery |
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. |
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 |
Find all providers with the same taxonomy |
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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.