MR. THOMAS CHARLES GARDNER (NPI# 1811153729) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811153729 |
| Entity Type | Individual |
| Full Name | MR. THOMAS CHARLES GARDNER |
| Credential | APN |
| Practice Address |
2642 State Route 76 Willow Springs MO 65793-8254 |
| Practice Telephone | 4174695124 |
| Practice Fax Number | 4174691165 |
| Mailing Telephone | 4174695124 |
| Mailing Fax Number | 4174691165 |
| Enumeration Date | 2008-07-30 |
| Last Update Date | 2011-06-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN | MO | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063811644 | Thomas Levier Gardner | Dentist | 518 Hollyberry Ln Ste 105, Orange Park, FL 32065-5290 | 2014-08-19 |
| 1487852430 | Thomas Derrick Gardner | Pharmacist | 4018 Breakwater Dr, Hixson, TN 37343-3528 | 2007-07-10 |
| 1750428702 | Thomas Hiram Gardner | Chiropractor | 118 Cochituate Rd, Framingham, MA 01701-7978 | 2007-01-31 |
| 1780793372 | Thomas A Gardner | Social Worker | 230 Yager Ave Ste 5, Lagrange, KY 40031-1060 | 2006-08-29 |
| 1770800864 | Thomas Frederick Gardner | Specialist | 1725 W 17th St, Santa Ana, CA 92706-2316 | 2010-04-28 |
| 1104096783 | Thomas Don Gardner | Counselor | 1130 Conroy Ln, Roseville, CA 95661-4156 | 2008-03-10 |
| 1770703498 | Thomas George Gardner | Physical Therapist | 1551 Nw 54th St, Seattle, WA 98107-3845 | 2007-04-26 |
| 1952528366 | Thomas A Gardner | Ophthalmology | 2801 W Kinnickinnic Pkwy, 630, Milwaukee, WI 53215-5212 | 2007-04-19 |
| 1396836375 | Thomas L Gardner | Anesthesiology | 1034 North 500 West, Utah Valley Regional Medical Center, Provo, UT 84604 | 2006-09-27 |
| 1528022464 | Thomas W Gardner | Ophthalmology | 1000 Wall St, Ann Arbor, MI 48105-1912 | 2006-04-17 |
| Street Address |
2642 STATE ROUTE 76 |
| City | WILLOW SPRINGS |
| State | MO |
| Zip Code | 65793-8254 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184625782 | Willow Health Care Inc | Clinic/Center | 2642 State Route 76, Willow Springs, MO 65793-8254 | 2005-08-03 |
| 1679703623 | Krystal S Colvin Jones | Nurse Practitioner | 2642 State Route 76, Willow Springs, MO 65793-8254 | 2009-07-23 |
| 1366443913 | Willow Health Care Inc | Home Health | 2642 State Route 76, Willow Springs, MO 65793-0000 | 2005-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033534 | Good Graces, LLC | Pharmacy | 857 E Main Street, Ste 3 - 5, Willow Springs, MO 65793 | 2020-11-03 |
| 1427526565 | Ozarks Medical Center | Clinic/Center | 201 West High Street, Suite 2, Willow Springs, MO 65793 | 2018-11-07 |
| 1124514476 | Ozarks Medical Center | Clinic/Center | 201 West High Street, Suite 2, Willow Springs, MO 65793 | 2018-07-10 |
| 1023439403 | Lori Pendergrass | Occupational Therapy Assistant | 910 Springfield Rd, Willow Springs, MO 65793 | 2014-01-02 |
| 1912151960 | Matthew Eugene Mansfield | Dentist | 2729 State Route 76 West, Willow Springs, MO 65793 | 2008-11-04 |
| 1407950520 | Lester E Cox Medical Centers | Family Medicine | 816 E Main, Willow Springs, MO 65793 | 2006-09-11 |
| 1972771657 | Mercy Clinic Springfield Communities | Family Medicine | 1202 E Main St, Willow Springs, MO 65793 | 2008-02-14 |
| 1598742777 | Alexander Mark Prorok | Counselor | 3670 County Road 4990, Willow Springs, MO 65793-0506 | 2005-12-28 |
| 1548341019 | Laura Louise Curtis | Counselor | 2695 Sr U, Willow Springs, MO 65793-0631 | 2006-10-18 |
| 1629125000 | Aldyth R Huston | Occupational Therapist | 215 W 4th St, Willow Springs, MO 65793-1118 | 2007-01-05 |
| Find all providers in zip 65793 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316555006 | Lacey Jean Hawkins | Nurse Practitioner | 2646 Hwy 76, Willow Springs, MO 65793-8254 | 2020-07-19 |
| 1407308554 | Teresa Ward | Nurse Practitioner | 816 E Main St, Willow Springs, MO 65793-1518 | 2016-10-25 |
| 1679703623 | Krystal S Colvin Jones | Nurse Practitioner | 2642 State Route 76, Willow Springs, MO 65793-8254 | 2009-07-23 |
| 1205884244 | Eileen Warner | Nurse Practitioner | 2646 State Route 76, Willow Springs, MO 65793-8254 | 2006-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720816 | Blake Christian Cory | Nurse Practitioner | 615 S Ballas Rd # 2015, Saint Louis, MO 63122-5314 | 2020-11-08 |
| 1336740620 | Courtney J Perkins | Nurse Practitioner | 724 Sw 30th St, Blue Springs, MO 64015-3381 | 2020-11-04 |
| 1467052381 | Kristin Nersesyan | Nurse Practitioner | 916 Sw Bennington Pl, Lees Summit, MO 64081-3700 | 2020-10-29 |
| 1265032346 | Sara Lynn Gillespie | Nurse Practitioner | 2424 S 9th St Apt 215, Saint Louis, MO 63104-4717 | 2020-10-28 |
| 1659971992 | Carrie Ellen Smith | Nurse Practitioner | Mailstop 90-00-174, One Barnes-jewish Plaza, St. Louis, MO 63110 | 2020-10-27 |
| 1417556994 | Tory Linn Francis | Nurse Practitioner | 19155 Fry Rd, Edgerton, MO 64444-9037 | 2020-10-26 |
| 1174123509 | Megan Ashley Wagner | Nurse Practitioner | 10012 Kennerly Rd Ste 406, Saint Louis, MO 63128-2197 | 2020-10-26 |
| 1033718903 | Lisa Jo Moore | Nurse Practitioner | 2623 S Main Street, Nixa, MO 64804 | 2020-10-22 |
| 1831798792 | Alicia Caroline Baker | Nurse Practitioner | 1070 W 7th St, Washington, MO 63090 | 2020-10-21 |
| 1114526266 | Leslie Desha | Nurse Practitioner | 1109 Pheasant Run, Columbia, MO 65201-6253 | 2020-10-20 |
| Find all providers with the same taxonomy | ||||
| City | WILLOW SPRINGS |
| Zip Code | 65793 |
Please comment or provide details below to improve the information on MR. THOMAS CHARLES GARDNER.
| 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.