DR. MARY S GARDNER (NPI# 1508859703) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508859703 |
| Entity Type | Individual |
| Full Name | DR. MARY S GARDNER |
| Credential | M.D. |
| Practice Address |
171 Webb Dr Davenport FL 33837-3944 |
| Mailing Address |
46 4th St Sw Winter Haven FL 33880-2910 |
| Practice Telephone | 8634217276 |
| Practice Fax Number | 8634217109 |
| Mailing Telephone | 8632942559 |
| Mailing Fax Number | 8632931427 |
| Enumeration Date | 2005-08-24 |
| Last Update Date | 2012-12-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
ME59197 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BLUE CROSS BLUE SHIELD | 12131 | 01 |
| FL | 053313100 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801254727 | Mary Gardner | Registered Nurse | 1234 Burlingham Rd, Pine Bush, NY 12566-7323 | 2016-02-06 |
| 1588086680 | Mary Katheryn Gardner | Dental Assistant | 18515 Mansel Ave, Redondo Beach, CA 90278-4642 | 2014-01-09 |
| 1780978809 | Mary S. Gardner | Pharmacist | 270 Central Pkwy, T-0989, Heath, OH 43056-1278 | 2011-06-06 |
| 1326292822 | Mary C. Gardner | Physical Therapist | 86 Cardinal Ln, Mandeville, LA 70471-6744 | 2008-11-11 |
| 1992884258 | Mary Elizabeth Gardner | Physical Therapist | 11022 Nicholas Ln, Suite 1, Ocean Pines, MD 21811-3352 | 2006-11-06 |
| 1306808985 | Mary Lambert Gardner | Psychologist | 9 Tulip Poplar Ct, Rosedale, MD 21237-3376 | 2006-04-06 |
| 1578545778 | Mary Frances Gardner | Nurse Practitioner | 600 Moye Boulvard, Greenville, NC 27858 | 2005-11-15 |
| 1013518141 | Mary Frances Gardner | Technician | 3044 Thayer St Ne, Washington, DC 20018-2505 | 2020-11-04 |
| 1316568652 | Mary Stephany Gardner | Dental Hygienist | 12351 Dillingham Sq, Woodbridge, VA 22192-5251 | 2020-04-28 |
| 1437795606 | Mary Gardner | Nurse Practitioner | 613 Marquette Rd, Brandon, MS 39042-3038 | 2019-11-22 |
| Street Address |
171 WEBB DR |
| City | DAVENPORT |
| State | FL |
| Zip Code | 33837-3944 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467772145 | Heart of Florida Diabetes and Endocrine LLC | Internal Medicine | 171 Webb Dr, Ste 2, Davenport, FL 33837-3944 | 2010-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922612274 | Kimberly Zariya Honaker | Massage Therapist | 398 Madison Drive, Davenport, FL 33837 | 2020-09-03 |
| 1609480375 | Sun Health and Wellness, Inc | Pharmacy | 109 Park Place Blvd, Suite A, Davenport, FL 33837 | 2020-09-01 |
| 1093323156 | Tammey Davis Payne | Counselor | 1423 Merrimack Lane, Davenport, FL 33837 | 2020-07-15 |
| 1346872835 | Shelly Hanson | Dietitian, Registered | 40100 Us 27, Davenport, FL 33837 | 2020-02-12 |
| 1689221269 | Adventist Health System /sunbelt, Inc. | Clinic/Center | 40124 Us Hwy 27, Suite 205, Davenport, FL 33837 | 2019-08-20 |
| 1578029039 | Portia P White | In Home Supportive Care | 108 East James St, Davenport, FL 33837 | 2019-02-20 |
| 1366937146 | Sheetal Kirat Parikh | Dietitian, Registered | 40100 Us Highway 27, Davenport, FL 33837 | 2018-06-25 |
| 1063929883 | Marisa Christine Sweetser | Registered Nurse | 40100 Us-27, Davenport, FL 33837 | 2018-01-02 |
| 1104341460 | Haley Kampf | Behavioral Analyst | 4303 Cortland Dr, Davenport, FL 33837 | 2017-08-08 |
| 1013438373 | Tamara Michelle Ortiz | Speech-Language Pathologist | 206 Nova Drive, Davenport, FL 33837 | 2017-06-27 |
| Find all providers in zip 33837 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699762369 | Thomas J Stoffel | Radiology | 1401 W Central Park Ave, Davenport, IA 52804-1707 | 2005-09-28 |
| 1568604916 | Kiwhoon Lee | Radiology | 1401 W Central Park Ave, Davenport, IA 52804-1707 | 2009-04-01 |
| 1629036801 | Randy V Heysek | Radiology | 40107 Hwy 27, Davenport, FL 33837 | 2006-05-04 |
| 1033106729 | Christine M Sharis | Radiology | 1401 W Central Park Ave, Davenport, IA 52804-1707 | 2005-09-29 |
| 1235126905 | Antonio P Vigliotti | Radiology | 1401 W Central Park Ave, Davenport, IA 52804-1707 | 2005-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114539079 | Mydoctoreb LLC | Radiology | 17407 Lotino Pl, Lutz, FL 33548-4815 | 2020-08-20 |
| 1417516600 | Arthur J. Iglesias, M.d. P.a. | Radiology | 1100 N.w. 95th Street, Cancer Center, Miami, FL 33150 | 2019-06-11 |
| 1962970111 | William A Assad, M.d. | Radiology | 3202 Henderson Blvd Ste 204a, Tampa, FL 33609-3043 | 2018-11-06 |
| 1508361361 | Marian Ingram | Radiology | 350 Nw 84th Ave Ste 102, Plantation, FL 33324-1820 | 2018-03-26 |
| 1376051870 | Indian River Health Services Inc | Radiology | 3555 10th Ct Ste 101, Vero Beach, FL 32960-5013 | 2018-01-18 |
| 1417492497 | Flagler Hospital, Inc. | Radiology | 97 Health Park Blvd, Saint Augustine, FL 32086-5777 | 2016-12-29 |
| 1447614441 | Benjamin Spieler | Radiology | 1475 Nw 12th Ave # Sccc1500, Miami, FL 33136-1002 | 2016-04-06 |
| 1629461371 | Florida Oncology Tavares, LLC | Radiology | 2010 Nightingale Ln, Tavares, FL 32778-4361 | 2015-03-05 |
| 1285042036 | Gulf Region Radiation Oncology Centers | Radiology | 1545 Airport Blvd Ste 1000, Pensacola, FL 32504-8615 | 2014-07-24 |
| 1962812917 | Florida Oncology Partners LLC | Radiology | 1100 N.w. 95 Street, Cancer Center, Miami, FL 33150-2038 | 2014-04-29 |
| 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.