CASEY J GARDNER


Address: 714 N Senate Ave, Ste 100, Indianapolis, IN 46202-3763
Phone: 3174724265

CASEY J GARDNER (NPI# 1629059878) 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) 1629059878
Entity Type Individual
Full Name CASEY J GARDNER
Credential P.A.C.
Practice Address 714 N Senate Ave
Ste 100
Indianapolis
IN 46202-3763
Mailing Address 4711 N Kenwood Ave
Indianapolis
IN 46208-3529
Practice Telephone 3174724265
Mailing Telephone 2604138875
Enumeration Date 2005-11-07
Last Update Date 2014-02-04
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
10000672A IN Physician Assistants & Advanced Practice Nursing Providers
N 363AS0400X Physician Assistant
Specialization: Surgical Technologist
10000672A IN Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
IN ANTHEM BCBS 000000643669 01
IN MEDICARE PTAN NUMBER 151020TTTT 01
IN RAILROAD MEDICARE PTAN NUMBER P00841261 01

Other Providers CASEY GARDNER

NPI Name Taxonomy Address Enumeration
1528418506 Casey Gardner Dental Hygienist 2441 21st St, Fort Campbell, KY 42223-5582 2016-06-21
1215150966 Casey Kimzey Gardner Pharmacist 1110 Navaho Dr, Suite 400, Raleigh, NC 27609-7352 2007-04-11

Office Location

Street Address 714 N SENATE AVE
STE 100
City INDIANAPOLIS
State IN
Zip Code 46202-3763

Providers in the same location

NPI Name Taxonomy Address Enumeration
1376546770 Margaret A Hollar Radiology 714 N Senate Ave, Ste Ef100, Indianapolis, IN 46202-3763 2005-05-31
1497361554 Jennifer Nicole Nattam Nurse Practitioner 714 N Senate Ave, Indianapolis, IN 46202-3763 2020-09-23
1316487507 Cayla Sciscoe Nurse Practitioner 714 N Senate Ave, Suite 100, Indianapolis, IN 46202-3763 2017-03-07
1891186763 Michael D Bortone Radiology Practitioner Assistant 714 N Senate Ave, Suite 100, Indianapolis, IN 46202-3763 2015-02-12
1982039244 Lindsey D Robertson Physician Assistant 714 N Senate Ave, Suite 100, Indianapolis, IN 46202-3763 2013-09-05
1093098295 Shawn M Stout Physician Assistant 714 N Senate Ave, Ste 120, Indianapolis, IN 46202-3297 2011-09-23
1457659930 Yuzhu Tang Internal Medicine 714 N Senate Ave, Ste 120, Indianapolis, IN 46202-3297 2011-03-07
1801109731 Tyler Rummel Radiology 714 N Senate Ave, Suite 100, Indianapolis, IN 46202-3763 2010-07-20
1346565371 Stephanie Marie Stahl Psychiatry & Neurology 714 N Senate Ave, Suite 120, Indianapolis, IN 46202-3763 2010-04-01
1952639841 Heather L Beaty Physician Assistant 714 N Senate Ave, Suite 100, Indianapolis, IN 46202-3763 2009-12-03
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1790386886 Sara Brooke Horn Registered Nurse 1801 N Senate Ave Ste 3300, Indianapolis, IN 46202 2020-11-04
1013521905 Zachary Camden Grimes Registered Nurse 720 Eskenazi Avenute, Indianapolis, IN 46202 2020-09-08
1790314045 Scott C Mitchell II Student in an Organized Health Care Education/Training Program Indiana University School of Medicine Dept of Neurosurg, 355 W. 16th St, Gh 5100, Indianapolis, IN 46202 2020-04-07
1053940676 James Patrick Kelly Iv Student in an Organized Health Care Education/Training Program 705 Riley Hospital Dr., Ri-5837, Indianapolis, IN 46202 2020-04-06
1124657697 Betsy Wilson Stevens Student in an Organized Health Care Education/Training Program 705 Riley Hospital Drive, Ri-5837, Indianapolis, IN 46202 2020-04-06
1093340580 Brian T Edmonds Social Worker Sandra Eskenazi Mental Health Center, 1700 N Illinois St, Indianapolis, IN 46202 2020-03-05
1326683210 Lindsay Nicole Rich Nurse Practitioner 1800 N Senate Ave, Indianapolis, IN 46202 2019-11-14
1427693670 Ronald Mcdonald House Charities of Central Indiana Voluntary or Charitable 435 Limestone Street, Indianaplois, IN 46202 2019-11-12
1790344760 Kirsten Denise Leaberry Student in an Organized Health Care Education/Training Program Iu Health Neuroscience Center, Goodman Hall, 355 West 16th Street, Indianapolis, IN 46202 2019-06-12
1679138093 Chris Olson Jr. Student in an Organized Health Care Education/Training Program 1701 N. Senate Blvd, Ag012, Indianapolis, IN 46202 2019-05-02
Find all providers in zip 46202

Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1124634936 Brilyn Michelle Banister Physician Assistant 8443 Cabin Creek Dr Apt G, Indianapolis, IN 46237-6330 2020-09-17
1386290625 Douglas R Day Physician Assistant 1701 N Senate Blvd # Ag373a, Indianapolis, IN 46202-1239 2019-08-13
1841851409 Rachel Jagrowski Physician Assistant 1801 N Senate Blvd Ste 700, Indianapolis, IN 46202-1177 2019-06-25
1407311814 William Peter Thompson Physician Assistant 1801 N Capitol Ave # Npe120, Indianapolis, IN 46202-1217 2019-02-11
1912492679 Katherine Barrett Tenbarge Physician Assistant 1800 N Capitol Ave # E140, Indianapolis, IN 46202-1218 2018-06-26
1154843704 Jennifer Trapuzzano Physician Assistant 1801 N Senate Blvd Ste 310, Indianapolis, IN 46202-1196 2017-07-14
1154879666 Grace Schultz Physician Assistant 1408 Broadway St Apt F, Indianapolis, IN 46202-2744 2016-09-13
1477925071 Samantha Kitcoff Physician Assistant 8180 Clearvista Pkwy Ste 100, Indianapolis, IN 46256 2015-10-22
1386040046 Maham Mushtaq Physician Assistant 5759 James Blair Dr, Indianapolis, IN 46234-3226 2014-11-07
1285030924 Margaret Anne Voelker-park Physician Assistant 550 University Blvd Unit 3240, Indianapolis, IN 46202-5250 2014-11-07
Find all providers in INDIANAPOLIS

Competitor

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City INDIANAPOLIS
Zip Code 46202

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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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