JOHN RUSSELL GARDNER (NPI# 1760570972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760570972 |
| Entity Type | Individual |
| Full Name | JOHN RUSSELL GARDNER |
| Credential | MD |
| Practice Address |
601 N 30th St Omaha NE 68131-2137 |
| Mailing Address |
Po Box 3366-0210 Omaha NE 68176-0210 |
| Practice Telephone | 4024494590 |
| Mailing Telephone | 8663218433 |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2008-10-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
23872 | NE | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | BCBSNE | 34348 | 01 |
| NE | MIDLANDS CHOICE | 252841 | 01 |
| NE | 10025121700 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801373022 | John Gardner | Pharmacist | 1280 E Stringham Ave, Salt Lake City, UT 84106-2490 | 2018-07-20 |
| 1861850380 | John Gardner | Pharmacist | 3735 Franklin Rd Sw, Roanoke, VA 24014-2260 | 2016-01-29 |
| 1770826299 | John Anthony Gardner II | Anesthesiology | 1112 S Main St Ste 7, Franklin, KY 42134-2322 | 2013-04-03 |
| 1588977615 | John Willard Gardner | Preventive Medicine | 5805 Dimes Rd, Derwood, MD 20855-1728 | 2010-07-18 |
| 1447578026 | John Gardner | Nurse Practitioner | 44 S 29th St, Newark, OH 43055-2564 | 2010-05-06 |
| 1982806337 | John Clayton Gardner | Independent Medical Examiner | 1609 W 16th St, Parker, AZ 85344-6209 | 2007-06-05 |
| 1720120900 | John Kevin Gardner | Prosthetist | 2108 E 3rd St Ste 100, Chattanooga, TN 37404-2623 | 2007-02-13 |
| 1215083696 | John Allen Gardner | Dentist | 1316 Old 63 South, Suite 201, Columbia, MO 65201-6045 | 2007-01-26 |
| 1700942539 | John J. Gardner | Optometrist | 9400 S Roberts Rd, Hickory Hills, IL 60457-2326 | 2006-12-28 |
| 1114097581 | John D Gardner | Dentist | 1210 Ward Ave, Caruthersville, MO 63830 | 2006-11-09 |
| Street Address |
601 N 30TH ST |
| City | OMAHA |
| State | NE |
| Zip Code | 68131-2137 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184627036 | Blanca Lucia Marky | Psychiatry & Neurology | 601 N 30th St, Suite 5300, Omaha, NE 68131-2137 | 2005-05-24 |
| 1528503851 | Steffany J Chedel | Registered Nurse | 601 N 30th St, Suite 3222, Omaha, NE 68131-2128 | 2016-12-22 |
| 1205371572 | Allyson K Doerr | Nurse Anesthetist, Certified Registered | 601 N 30th St, Suite 3222, Omaha, NE 68131-2128 | 2016-12-22 |
| 1083161889 | Ashley Self | Registered Nurse | 601 N 30th St, Suite 3700, Omaha, NE 68131-2128 | 2016-09-09 |
| 1467909655 | Teresa Champion | Nurse Practitioner | 601 N 30th St, Suite 3700, Omaha, NE 68131-2128 | 2016-09-06 |
| 1750837910 | Muhammad Adil Mumtaz | Internal Medicine | 601 N 30th St, Cu Department of Internal Medicine, Omaha, NE 68131-2128 | 2016-08-28 |
| 1730632894 | Abhishek Thandra | Internal Medicine | 601 N 30th St, Cu Department of Internal Medicine, Omaha, NE 68131-2128 | 2016-07-25 |
| 1265885370 | Ankit Verma | Surgery | 601 N 30th St, Cu Department of Surgery, Omaha, NE 68131-2128 | 2016-07-13 |
| 1225480650 | Danielle Flores | Internal Medicine | 601 N 30th St, Cu Department of Internal Medicine, Omaha, NE 68131-2128 | 2016-07-11 |
| 1649622333 | Mateo Cindric | Family Medicine | 601 N 30th St, Cu - Department of Family Medicine, Omaha, NE 68131-2128 | 2016-07-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821626086 | Spring Forward Ot, LLC | Occupational Therapist | 429 N. 38th Ave, Omaha, NE 68131 | 2020-03-31 |
| 1568944528 | Amy Vodicka | Case Manager/Care Coordinator | 3612 Cuming St., Omaha, NE 68131 | 2018-09-05 |
| 1982121919 | Lakeisha Marie Phelps | Peer Specialist | 3568 Dodge St, Omaha, NE 68131 | 2017-08-30 |
| 1063939098 | William L. Rolfe | Community Health Worker | 3568 Dodge Street, Suite 2, Omaha, NE 68131 | 2017-08-30 |
| 1578086294 | Nebraska Family Support Network | Community/Behavioral Health | 3568 Dodge St Ste 2, Omaha, NE 68131 | 2017-07-25 |
| 1124558937 | Beverly Hamilton | Case Manager/Care Coordinator | 3612 Cuming, Omaha, NE 68131 | 2017-06-14 |
| 1396291068 | Elizabeth George | Internal Medicine | 601 N. 30th St. Cu Department of Internal Medicine, Omaha, NE 68131 | 2016-08-31 |
| 1639625999 | Samuel Ramon Brown | Surgery | 601 N. 30th St. Cu Department of Surgery, Omaha, NE 68131 | 2016-08-28 |
| 1205289238 | Srilakshmi Reddy | Surgery | 601 N 30th St -cu Department of General Surgery, Omaha, NE 68131 | 2016-07-14 |
| 1881069409 | Jordan Sieh | Behavioral Analyst | 444 S. 44th St, Omaha, NE 68131 | 2015-12-08 |
| Find all providers in zip 68131 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578647772 | Heartland Emergicare | Emergency Medicine | Heartland Emergicare, 2429 M Str, Omaha, NE 68107 | 2006-10-24 |
| 1649227869 | Scott Vosik | Emergency Medicine | 6901 N 72nd Street, Omaha, NE 68122-1799 | 2006-05-31 |
| 1346214020 | Brent L. Scott | Emergency Medicine | 8630 F Street, Omaha, NE 68127 | 2006-02-17 |
| 1598983793 | Charles Schmier | Emergency Medicine | 981150 Nebraska Medical Ctr, Omaha, NE 68198-1150 | 2007-04-23 |
| 1851336507 | Arthur Prine | Emergency Medicine | 6901 N 72nd St, Omaha, NE 68122 | 2006-06-17 |
| 1649210550 | Joseph F Martinak | Emergency Medicine | 140 S 77th St, Workfit, Omaha, NE 66114 | 2006-06-08 |
| 1558318725 | Shun C Kwong | Emergency Medicine | 6901 N 72nd St, Omaha, NE 68122-1799 | 2006-05-31 |
| 1376590547 | Theresa Hatcher | Emergency Medicine | 6901 N 72nd St, Omaha, NE 68122-1799 | 2006-05-31 |
| 1689630881 | Bruce Holcomb | Emergency Medicine | 6901 N 72nd St, Omaha, NE 68122-1709 | 2006-04-25 |
| 1053385815 | William G Gossman | Emergency Medicine | 601 N 30th St, Omaha, NE 68131-2137 | 2006-02-16 |
| Find all providers in OMAHA | ||||
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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.