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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | RAILROAD MEDICARE | P01366963 | 01 |
IN | 201075650 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528696697 | Stephanie Gardner | Speech-Language Pathologist | 16 Pleasant Point Rd, Branford, CT 06405-5602 | 2020-04-01 |
1407271620 | Stephanie Gardner | Licensed Practical Nurse | 51522 Annie Ave, Pleasant Valley, NY 12569 | 2014-02-25 |
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 |
Street Address |
5262 CARROLLTON AVE |
City | INDIANAPOLIS |
State | IN |
Zip Code | 46220-3181 |
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 |
Find all providers in zip 46220 |
Taxonomy Code | 207P00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Emergency Medicine |
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. |
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 |
Find all providers in INDIANAPOLIS |
City | INDIANAPOLIS |
Zip Code | 46220 |
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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.