MISS SARA ELIZABETH GARDNER (NPI# 1508011149) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508011149 |
| Entity Type | Individual |
| Full Name | MISS SARA ELIZABETH GARDNER |
| Credential | RPA |
| Practice Address |
1367 Washington Ave Ste 200 Albany NY 12206-1048 |
| Mailing Address |
68 Quaker Rd Queensbury NY 12804-1711 |
| Practice Telephone | 5184892666 |
| Practice Fax Number | 5184895933 |
| Mailing Telephone | 5187935601 |
| Mailing Fax Number | 5187935916 |
| Enumeration Date | 2008-11-24 |
| Last Update Date | 2019-06-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
P68141 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467997809 | Sara Elizabeth Gardner | Marriage & Family Therapist | 448 Du Bois St, San Rafael, CA 94901-3911 | 2016-12-20 |
| 1528247814 | Sara Gardner | Community Health Worker | 740 Nw Colorado Ave, Bend, OR 97701-3291 | 2007-11-02 |
| 1376572735 | Sara Elizabeth Gardner | Internal Medicine | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2006-06-30 |
| Street Address |
1367 WASHINGTON AVE STE 200 |
| City | ALBANY |
| State | NY |
| Zip Code | 12206-1048 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154304715 | Joachim J Tenuta | Orthopaedic Surgery | 1367 Washington Ave Ste 200, Albany, NY 12206-1043 | 2005-11-28 |
| 1689177966 | Laurie L Coppola | Registered Nurse | 1367 Washington Ave Ste 200, Albany, NY 12206 | 2018-03-13 |
| 1497164354 | Vivek Dutt | Orthopaedic Surgery | 1367 Washington Ave Ste 200, Albany, NY 12206 | 2014-08-05 |
| 1003168683 | Sean William Leahy | Physician Assistant | 1367 Washington Ave Ste 200, Albany, NY 12206-1048 | 2012-10-08 |
| 1508157611 | Joseph Paul Zimmerman | Orthopaedic Surgery | 1367 Washington Ave Ste 200, Albany, NY 12206-1048 | 2011-04-23 |
| 1871818427 | Cory Matthew Czajka | Orthopaedic Surgery | 1367 Washington Ave Ste 200, Albany, NY 12206-1048 | 2010-04-06 |
| 1225286255 | Michael Mulligan | Orthopaedic Surgery | 1367 Washington Ave Ste 200, Albany, NY 12206-1048 | 2008-09-03 |
| 1285895052 | Andrew Steven Morse | Orthopaedic Surgery | 1367 Washington Ave Ste 200, Albany, NY 12206-1043 | 2008-06-24 |
| 1730147554 | Todd S Shatynski | Family Medicine | 1367 Washington Ave Ste 200, Albany, NY 12206-1048 | 2006-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144749854 | Madena Lynn Henderson | Licensed Practical Nurse | 51 Garfield Pl, Albany, NY 12206 | 2017-09-13 |
| 1912456534 | Adeel A Janjua I | Contractor | 17 Roosevelt St, Albany, NY 12206 | 2016-09-23 |
| 1376901595 | Jacqueline Aimee Dall | Nurse Practitioner | 855 Central Avenue, Albany, NY 12206 | 2016-02-02 |
| 1326414210 | Sarah Walton | Pharmacist | 346 Central Ave, Albany, NY 12206 | 2015-08-14 |
| 1376932558 | Hope House, Inc. | Substance Abuse Rehabilitation Facility | 577 Livingston Ave., Albany, NY 12206 | 2015-01-12 |
| 1679993828 | Lori S. Matulewicz | Nurse Practitioner | 500 Central Ave., Equinox, Inc., Albany, NY 12206 | 2014-04-25 |
| 1437417995 | Ernest Nicola Chisena | Orthopaedic Surgery | 1367 Washington Avenue Suite 200, Albany, NY 12206 | 2012-05-02 |
| 1629368519 | Joseph M Rozell | Radiology | 255 Patroon Creek Blvd Apt 3439, Albany, NY 12206 | 2011-04-12 |
| 1346542404 | Melissa June Kowlessar | Licensed Practical Nurse | 69 Benson Street, Albany, NY 12206 | 2010-11-23 |
| 1316109796 | Edmund John Mcgrath | Podiatrist | 911 Central Avenue #24, Albany, NY 12206 | 2008-06-27 |
| Find all providers in zip 12206 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912486747 | Karen Duane | Physician Assistant | 48 New Scotland Ave, Albany, NY 12208 | 2018-08-13 |
| 1740708106 | Kenneth Cook | Physician Assistant | 121everett Rd, Albany, NY 12205 | 2017-09-06 |
| 1356722714 | Megan Weitzel | Physician Assistant | 50 New Scotland Ave # Mc-190, Albany, NY 12208-3403 | 2015-06-11 |
| 1063899847 | Philip Rabadi | Physician Assistant | 27 Westlyn Ct, Albany, NY 12203-3463 | 2015-04-30 |
| 1467885459 | Heather Freeman | Physician Assistant | 1980 Western Ave, Apt 731, Albany, NY 12203-5051 | 2013-08-14 |
| 1861509531 | Tracy Dee Amsden | Physician Assistant | 1365 Washington Ave Ste 300, Albany, NY 12206-1098 | 2006-08-25 |
| 1124015748 | Dan C West | Physician Assistant | 605 N Westover Blvd, Albany, GA 31707-2188 | 2005-09-29 |
| 1750378329 | Sheri B Smith | Physician Assistant | 2311 Lake Park Drive, Albany, GA 31707 | 2005-09-29 |
| 1942816368 | Brian D Klassner | Physician Assistant | 121 Everett Rd Ste 100, Albany, NY 12205-1447 | 2020-09-21 |
| 1114535077 | Jonathan Stephens | Physician Assistant | 121 Everett Rd Ste 100, Albany, NY 12205-1447 | 2020-07-16 |
| Find all providers in ALBANY | ||||
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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.