TIMOTHY L. GARDNER,DPM (NPI# 1417140070) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417140070 |
| Entity Type | Organization |
| Organization Name | TIMOTHY L. GARDNER,DPM |
| Practice Address |
10810 Parkside Dr Ste 202 Knoxville TN 37934-1981 |
| Practice Telephone | 8652187474 |
| Practice Fax Number | 8652187475 |
| Mailing Telephone | 8652187474 |
| Mailing Fax Number | 8652187475 |
| Enumeration Date | 2007-08-27 |
| Last Update Date | 2008-06-18 |
| Authorized Official Name | DR. TIMOTHY LOGAN GARDNER (PRESIDENT) |
| Authorized Official Telephone | 8652187474 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
DPM409 | TN | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | BCBS | 0191729 | 01 |
| TN | 3351921 | 05 |
| Street Address |
10810 PARKSIDE DR STE 202 |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37934-1981 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437780905 | Knoxville Dentistry Group Pllc | Clinic/Center | 1119 Kingston Pike, Knoxville, TN 37934 | 2020-02-03 |
| 1073087714 | Farragut Modern Dentistry, PC | Dentist | 109 Campbell Station Rd., Farragut, TN 37934 | 2019-01-16 |
| 1669949764 | Cynthia Boger | Optometrist | 11289 Parkside Dr Spc 1108, Knoxville, TN 37934 | 2018-10-26 |
| 1306385927 | Lindsey A Kelley | Registered Nurse | 11217 West Point Drive, Suite 2, Knoxville, TN 37934 | 2017-02-15 |
| 1740736487 | Julie Noll | Occupational Therapy Assistant | 312 Rockwell Farm Lane, Knoxville, TN 37934 | 2016-09-01 |
| 1457719411 | Adrianne Whitelaw | Occupational Therapist | 10717 Deep Woods Lane, Knoxville, TN 37934 | 2016-02-05 |
| 1821486150 | Will Parrott | Physical Therapy Assistant | 917 Weatherly Hills Blvd, Knoxville, TN 37934 | 2015-01-09 |
| 1679988380 | Lutheran Medical Center | Health Maintenance Organization | 305 Dominick Pont, Knoxville, TN 37934 | 2014-06-23 |
| 1518396761 | Dr. Mark Lynn & Associates, Pllc | Eyewear Supplier (Equipment, not the service) | 10930 Parkside Dr., Knoxville, TN 37934 | 2013-11-08 |
| 1770879090 | Meredith Tonks | Optometrist | 12744 Kingston Pike Ste 108, Knoxville, TN 37934 | 2011-06-24 |
| Find all providers in zip 37934 | ||||
| Taxonomy Code | 213ES0131X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497215438 | Sandberg Foot Health Center PC | Podiatrist | 116 Concord Rd Ste 300, Knoxville, TN 37934-2941 | 2019-03-25 |
| 1134161979 | David Michael Velarde | Podiatrist | 2824 Merchants Dr, Knoxville, TN 37912-4905 | 2006-06-12 |
| 1720039779 | Carol A. Akerman | Podiatrist | 2725 Asbury Rd, Suite 102, Knoxville, TN 37914-6441 | 2006-05-15 |
| 1255891198 | Sandberg Foot Health Center PC | Podiatrist | 9330 Park West Blvd Ste 300, Knoxville, TN 37923-4311 | 2019-03-25 |
| 1720548662 | Sandberg Foot Health Center PC | Podiatrist | 1928 Alcoa Hwy, Building B., Suite 200, Knoxville, TN 37920-1502 | 2019-03-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912202516 | Northwest Tennessee Foot Clinic, Pllc | Podiatrist | 1020 E Reelfoot Ave, Union City, TN 38261-6051 | 2011-01-13 |
| 1114158144 | Tomika Thomas Dpm | Podiatrist | 6775 Watergrove Dr, Memphis, TN 38119-8658 | 2009-08-08 |
| 1407021926 | Steve K Chase Dpm PC | Podiatrist | 7174 Stage Rd Ste 123, Bartlett, TN 38133-8954 | 2008-04-25 |
| 1376723163 | Associated Podiatrists of Tennessee | Podiatrist | 100 Medical Center Ct, Clarksville, TN 37043-4546 | 2007-11-08 |
| 1437297595 | Oliver Foot Clinic, Inc. | Podiatrist | 635 N. Main Street, Suite A, Shelbyville, TN 37160-3235 | 2007-02-01 |
| 1033109327 | Paul Benjamin Schodowski | Podiatrist | 2004 American Way, Suite 115, Kingsport, TN 37660-4673 | 2005-10-27 |
| 1598755100 | Robert Darrin Hurst | Podiatrist | 425 Wayne Rd, Savannah, TN 38372-1944 | 2005-10-25 |
| 1255329264 | Martin Lyle Toy | Podiatrist | 300 Stonecrest Blvd, Suite 350, Smyrna, TN 37167 | 2005-10-12 |
| 1518955707 | Joseph Creazzo Jr. | Podiatrist | 2263 Sandstone Dr, Morristown, TN 37814-2593 | 2005-10-11 |
| 1073500823 | Laurel B Cook I | Podiatrist | 603 Smithview Dr, Maryville, TN 37803-6100 | 2005-10-05 |
| 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.