JAMES GARDNER (NPI# 1417361627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417361627 |
| Entity Type | Individual |
| Full Name | JAMES GARDNER |
| Credential | M.D. |
| Practice Address |
20 York St New Haven CT 06510-3220 |
| Mailing Address |
92 Jordan Ln Stamford CT 06903-3914 |
| Practice Telephone | 2036884242 |
| Mailing Telephone | 2032735163 |
| Enumeration Date | 2014-06-16 |
| Last Update Date | 2020-06-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
65397 | CT | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | CONNECTICUT STATE MEDICAL LICENSE | 65397 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 92 Jordan Ln, Stamford, CT 069033914 | 2032735163 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336755883 | James Duane Gardner | Homemaker | 382 Morgan Ct, Salem, OH 44460-1149 | 2020-09-21 |
| 1285041087 | James Gardner | Chiropractor | 3316 Woods Blvd, Tyler, TX 75707-1656 | 2014-07-14 |
| 1043537467 | James Ronald Gardner | Dietitian, Registered | 25 Roxbury Ct, Keene, NH 03431-3279 | 2010-04-24 |
| 1831355775 | James Caleb Gardner | Optometrist | 846 Fort Dale Rd, Ste A, Greenville, AL 36037-3509 | 2008-07-30 |
| 1669693735 | James William Gardner | Counselor | 2120 Scheel St Apt D, Belleville, IL 62221-4182 | 2007-05-02 |
| 1962530279 | James Alan Gardner | Pharmacist | 15192 Al Highway 68, Box 37, Crossville, AL 35962-3452 | 2007-02-28 |
| 1821177205 | James Alexander Gardner | Radiology | 4166 Old Colony Rd, Kalamazoo, MI 49008-3214 | 2006-11-04 |
| 1194766162 | James Larimer Gardner IIi | Family Medicine | 150 N New Castle St, New Wilmington, PA 16142-1019 | 2006-06-09 |
| 1821036856 | James Criddle Gardner | Chiropractor | 1220 E 17th St, Idaho Falls, ID 83404-6147 | 2006-06-03 |
| 1497718092 | James Gardner | Emergency Medicine | 1133 College Ave Ste D200, Manhattan, KS 66502-2776 | 2006-04-07 |
| Street Address |
20 YORK ST |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06510-3220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376547042 | Kimberly C Irwin | Specialist | 20 York St, New Haven, CT 06510-3220 | 2005-06-09 |
| 1225639644 | Lauren Marie Astorino | Nurse Practitioner | 20 York St, New Haven, CT 06510-3220 | 2020-11-03 |
| 1598365215 | Apphia Rose Harris | Nurse Practitioner | 20 York St, New Haven, CT 06510-3220 | 2020-10-30 |
| 1861091365 | Melissa Todice | Nurse Practitioner | 20 York St, New Haven, CT 06510-3220 | 2020-10-26 |
| 1528665213 | Rebecca Dorothy Harrison | Nurse Practitioner | 20 York St, New Haven, CT 06510-3220 | 2020-10-06 |
| 1467068551 | Marissa Meegan Sanca | Registered Nurse | 20 York St, New Haven, CT 06510-3220 | 2020-09-23 |
| 1093321234 | Oksana Petsukh | Nurse Practitioner | 20 York St, New Haven, CT 06510-3220 | 2020-09-22 |
| 1841806114 | Madiha Shah | Pharmacist | 20 York St, New Haven, CT 06510-3220 | 2020-09-21 |
| 1053926303 | Tanyeri Barak | Student in an Organized Health Care Education/Training Program | 20 York St, Tompkins 226, New Haven, CT 06510-3220 | 2020-09-14 |
| 1548875776 | Lisa Wrubel | Registered Nurse | 20 York St, New Haven, CT 06510-3220 | 2020-09-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336757319 | Matthew Peter O'connell | Pharmacist | 55 Park Street, Lower Level, Department of Pharmacy, New Haven, CT 06510 | 2020-07-16 |
| 1477171460 | Huy Henry Le | Pharmacist | 20 York Street, Ps-ll, New Haven, CT 06510 | 2020-07-07 |
| 1144855263 | Daniel Jacobs | Student in an Organized Health Care Education/Training Program | 367 Cedar Street, Bldg. D, Student Affairs Office, New Haven, CT 06510 | 2020-03-09 |
| 1346898467 | Cem Cengiz | Internal Medicine | Tobb Etu Hastanesi, Yasam Cad. No.5 Sogutozu, Ankara, TURKEY 06510 | 2019-09-02 |
| 1295292290 | Emily Elizabeth Samuel | Counselor | 40 Temple Street, Ste 7c, Yale Child Outpatient Clinic, New Haven, CT 06510 | 2019-02-26 |
| 1639652779 | Laura Goldblum | Social Worker | 1450 Chapel Childrens Hospital, 1450 Chapel Street, New Haven, CT 06510 | 2018-09-14 |
| 1477049138 | Joseph Lawrence Earles | Otolaryngology | Yale Physicians Building, 800 Howard Ave., 4th Floor, New Haven, CT 06510 | 2018-07-06 |
| 1508356759 | Rebecca Anne Beagan | Student in an Organized Health Care Education/Training Program | 20 York Street- Pediatrics, New Haven, CT 06510 | 2018-05-14 |
| 1104316405 | Emma Sophie Taylor-salmon | Student in an Organized Health Care Education/Training Program | 20 York Street - Pediatrics, New Haven, CT 06510 | 2018-05-14 |
| 1376033563 | Wael S Ibrahim | Student in an Organized Health Care Education/Training Program | 20 York Street, Ynnh - Tompkins 226, New Haven, CT 06510 | 2018-05-14 |
| Find all providers in zip 06510 | ||||
| Taxonomy Code | 2085R0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Vascular & Interventional Radiology |
| A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235487794 | Derek Biederman | Radiology | 20 York Street, Ynhh Interventional Radiology, New Haven, CT 06510-3220 | 2012-08-15 |
| 1932490786 | Rahmat Ali | Radiology | 20 York St # T-209, Yale-new Haven Hospital, New Haven, CT 06510-3220 | 2011-04-28 |
| 1306161054 | Tamir Friedman | Radiology | 333 Cedar St, Department of Radiology, New Haven, CT 06510-3206 | 2010-04-06 |
| 1700035292 | Yale University | Radiology | 20 York St, Yale New Haven Hospital, New Haven, CT 06510-3220 | 2008-09-09 |
| 1619154895 | Igor Latich | Radiology | 20 York Street, T-209, Yale-new Haven Hospital, New Haven, CT 06510 | 2008-01-30 |
| 1821109539 | Hamid Reza Mojibian | Radiology | 800 Howard Ave, Yale Physicians Bldg, New Haven, CT 06519-1369 | 2006-08-31 |
| 1336180926 | Hyun S Kim | Radiology | 333 Cedar St, P.o. 208042, New Haven, CT 06510-3206 | 2006-06-08 |
| 1568452969 | John E Aruny | Radiology | 20 York St, Ynhh South Pavilion - 2nd Floor, New Haven, CT 06510-3220 | 2005-10-26 |
| 1710979059 | Lee H Greenwood | Radiology | 1450 Chapel St, New Haven, CT 06511-4405 | 2005-08-22 |
| 1619969953 | Douglas D Silin | Radiology | 1450 Chapel St, New Haven, CT 06511-4405 | 2005-08-22 |
| Find all providers in NEW HAVEN | ||||
Please comment or provide details below to improve the information on JAMES 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.