DR. STEPHANIE M GARDNER


Address: 5262 Carrollton Ave, Indianapolis, IN 46220-3181
Phone: 2102410651

DR. STEPHANIE M GARDNER (NPI# 1538480777) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1538480777
Entity Type Individual
Full Name DR. STEPHANIE M GARDNER
Other Name STEPHANIE SIEVERS
Credential MD
Practice Address 5262 Carrollton Ave
Indianapolis
IN 46220-3181
Practice Telephone 2102410651
Mailing Telephone 2102410651
Enumeration Date 2010-06-22
Last Update Date 2014-11-20
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207P00000X Emergency Medicine 01070246A IN Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program 01070246A IN Student, Health Care
N 390200000X Student in an Organized Health Care Education/Training Program 11015553A IN Student, Health Care

Other Provider Identifier

State Issuer Identifier Type Code
IN RAILROAD MEDICARE P01366963 01
IN 201075650 05

Other Providers STEPHANIE GARDNER

NPI Name Taxonomy Address Enumeration
1528696697 Stephanie Gardner Speech-Language Pathologist 16 Pleasant Point Rd, Branford, CT 06405-5602 2020-04-01
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1730704008 Stephanie Gardner Speech-Language Pathologist 901 Macarthur Blvd, Munster, IN 46321-2901 2020-06-12
1902437122 Stephanie M Gardner Behavioral Analyst 1256 Marlkress Rd, Cherry Hill, NJ 08003-2626 2020-01-27
1962976621 Stephanie Lynn Gardner Case Manager/Care Coordinator 143 Gougler Ave, Kent, OH 44240-2401 2019-01-16
1568986644 Stephanie Gardner Counselor Po Box 979, Prentiss, MS 39474-0979 2017-07-31
1548794936 Stephanie Sullivan Gardner Student in an Organized Health Care Education/Training Program 6565 Fannin St, Houston, TX 77030-2703 2017-04-12
1740632538 Stephanie Gardner Nurse Practitioner 315 Mulberry St, Evansville, IN 47713 2016-07-06
1124496401 Stephanie Gardner Counselor 850 Mill St, Reno, NV 89502 2015-09-03
1720488919 Stephanie L Gardner Social Worker 1384 W State Rd, Pleasant Grove, UT 84062-4130 2014-08-26

Office Location

Street Address 5262 CARROLLTON AVE
City INDIANAPOLIS
State IN
Zip Code 46220-3181

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1184255168 Know The Drill, LLC Dentist 6284 Rucker Road, Suite G, Indianapolis, IN 46220 2020-01-29
1902361017 Stephanie Jean Tellus Physical Therapist 5620 Carvel Ave, Indianapolis, IN 46220 2019-02-02
1861972879 Ashley M Pondexter Counselor 820 E 64th St, Indianapolis, IN 46220 2018-08-19
1649766403 Amy Yonan Social Worker 3830 Rue Delacroix, Indianapolis, IN 46220 2018-07-05
1295226066 Royal Comfort Home Care In Home Supportive Care 2804 55th Pl Ste K, Indianapolis, IN 46220 2018-05-28
1104322148 Jessica Lynn Neidlinger Counselor 819 E 64th St Ste 220, Indianapolis, IN 46220 2018-03-30
1497273494 Squareone Wellness Nurse Practitioner 5422 N Keystone Ave, Indianapolis, IN 46220 2017-08-30
1356866834 Andrea Elaine Tennancour Nurse Practitioner My Mobile Md LLC, 7007 Graham Road Suite 215, Indianapolis, IN 46220 2017-08-07
1346762283 Nicole Shields Specialist/Technologist 6020 Carvel Ave, 1234 Unit, Indianapolis, IN 46220 2017-07-12
1972033389 Laurie Budlong-morse Marriage & Family Therapist 815 E 63rd Pl Ste 204, Indianapolis, IN 46220 2017-06-18
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Taxonomy Information

Taxonomy Code 207P00000X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine

Taxonomy Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source]
- Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1508358128 Antonino Bucca Emergency Medicine 720 Eskenazi Ave Bldg 3, Indianapolis, IN 46202-5187 2018-05-30
1124518931 Evan Mitchell Landry Tomkiewicz Emergency Medicine 720 Eskenazi Ave Fl Ft3, Indianapolis, IN 46202-5187 2018-05-16
1114307063 Grant Fabian Chernoby Emergency Medicine 701 N Senate Ave # B401, Indianapolis, IN 46202-3111 2015-06-05
1508203514 Mark Liao Emergency Medicine 1701 N Senate Blvd Rm Ag012, Indianapolis, IN 46202-1239 2013-05-30
1003157322 Medexpress Urgent Care PC - Indiana Emergency Medicine 10863 E Washington St, Indianapolis, IN 46229-2615 2013-03-12
1164763744 Medexpress Urgent Care PC - Indiana Emergency Medicine 4903 S Emerson Ave, Indianapolis, IN 46203-5938 2013-03-07
1205199379 Damien T Berry Emergency Medicine 6335 S East St, Indianapolis, IN 46227-7112 2012-06-22
1972886422 Barber Hospital LLC Emergency Medicine 8125 Knue Rd, Indianapolis, IN 46250-1936 2011-09-21
1225321797 Seth Benjamin Langsam Emergency Medicine 1120 W Michigan St, Cl 260, Indianapolis, IN 46202-5209 2011-05-17
1467788208 Icem, LLC Emergency Medicine 340 W 10th St, Indianapolis, IN 46202-3082 2009-10-29
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Competitor

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City INDIANAPOLIS
Zip Code 46220

Improve Information

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Dataset Information

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.

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