TIMOTHY LEE GARDNER


Address: 1009 N State of Franklin Access Rd, Johnson City, TN 37604-3693
Phone: 4239297546

TIMOTHY LEE GARDNER (NPI# 1861482465) 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) 1861482465
Entity Type Individual
Full Name TIMOTHY LEE GARDNER
Credential M.D.
Practice Address 1009 N State of Franklin Access Rd
Johnson City
TN 37604-3693
Practice Telephone 4239297546
Practice Fax Number 4239297968
Mailing Telephone 4239297546
Mailing Fax Number 4239297968
Enumeration Date 2005-10-25
Last Update Date 2009-06-01
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207N00000X Dermatology 38003 TN Allopathic & Osteopathic Physicians
N 207ND0900X Dermatology
Specialization: Dermatopathology
38003 TN Allopathic & Osteopathic Physicians
N 207NS0135X Dermatology
Specialization: Procedural Dermatology
38003 TN Allopathic & Osteopathic Physicians

Other Providers TIMOTHY GARDNER

NPI Name Taxonomy Address Enumeration
1104043942 Timothy Elmer Gardner Dentist 2210 N Frazier St Ste 120, Conroe, TX 77303-1701 2007-04-20
1245363100 Timothy A. Gardner Dentist 7001 S 900 E Ste 130, Midvale, UT 84047-1719 2007-03-13
1649269499 Timothy John Gardner Internal Medicine 6120 N Mayfair St, Suite 101, Spokane, WA 99208-1033 2005-10-14
1043672165 Timothy Gardner Skilled Nursing Facility 1485 E 34th St, Brooklyn, NY 11234-2601 2016-03-28
1336288794 Timothy J Gardner Surgery 4755 Ogletown Stanton Rd, Room 1218 - Christiana Hospital, Newark, DE 19718-0001 2007-02-05
1942303946 Timothy Warren Gardner Physician Assistant 630 S Rancho Dr, Suite A, Las Vegas, NV 89106-4873 2006-09-06
1336183508 Timothy M Gardner Internal Medicine 1600 S 48th St, Suite 600, Lincoln, NE 68506-1283 2006-06-16
1841249224 Timothy Logan Gardner Podiatrist 10810 Parkside Dr, Suite 202, Knoxville, TN 37934-1979 2006-05-10
1962466938 Timothy F Gardner Nurse Practitioner 4802 Broadway, Gary, IN 46408-4509 2006-04-14
1851387229 Timothy B Gardner Internal Medicine 1 Medical Center Dr, Lebanon, NH 03756-1000 2005-09-21

Office Location

Street Address 1009 N STATE OF FRANKLIN ACCESS RD
City JOHNSON CITY
State TN
Zip Code 37604-3693

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1417560707 Brant Logan Nickens Physical Therapist 809 Lamont St and Veterans Way, Johnson City, TN 37604 2020-08-26
1952911562 David Sandlin Hobbs Pharmacist Lamont St &, Veterans Way, Johnson City, Tn 37604, Johnson City, TN 37604 2020-08-07
1528688272 Whitney Marie Ward Physical Therapist Lamont Street and Veterans Way, Johnson City, TN 37604 2020-04-23
1861050015 Akesh Thomas Student in an Organized Health Care Education/Training Program Johnson City Medical Center, 400 N State of Franklin Rd, Johnson City, TN 37604 2019-06-03
1336629021 Medical Education Assistance Corporation Clinic/Center 820 W Market St, Johnson City, TN 37604 2018-08-21
1093208951 Lauren Tiffany Hayden Physician Assistant 403 N State of Franklin Rd Woodridge Hospital, Johnson City, TN 37604 2018-06-14
1174014450 Jerica Moore Specialist/Technologist 1041 Hamiltion Place Dr., Johnson City, TN 37604 2018-05-23
1053809442 Syed Ghazanfar Hasan Student in an Organized Health Care Education/Training Program Etsu Psychiatry and Behavioral Sciences Department, 1276 Gilbreath Dr., Johnson City, TN 37604 2018-05-01
1699262485 Sonia Kumari Oad Student in an Organized Health Care Education/Training Program 178 West Maple St, Johnson City, TN 37604 2018-04-17
1821519364 Mahmoud El Iskandarani Internal Medicine 1084 W Oakland Avenue, 748, Johnson City, TN 37604 2017-07-06
Find all providers in zip 37604

Taxonomy Information

Taxonomy Code 207N00000X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology

Taxonomy Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1467968859 Outreach Clinics Unlimited Pllc Dermatology 1627 Old Gray Station Rd Ste 4, Johnson City, TN 37615-4193 2017-12-20
1538575709 Emily Dell Dermatology 1009 N State of Franklin Rd, Johnson City, TN 37604 2014-07-08
1790096196 Robert George Egbers Dermatology 302 Reynolds Rd Ste A, Johnson City, NY 13790-1308 2010-06-30
1083868087 Arthur Michael Coddington Jr. Dermatology 394 Main Street, Johnson City, NY 13790-1914 2008-11-05
1225160807 William Alan Schueller Dermatology 1026 Somerset Dr, Johnson City, TN 37604-2958 2007-03-10
1427128511 Dermatolgy & Dermatologic Surgery PC Dermatology 1021 W Oakland Dr, Suite 102, Johnson City, TN 37604-0000 2006-11-08
1639160815 James Richard Risney Dermatology 1021 W Oakland Ave, Suite 102, Johnson City, TN 37604-2191 2005-11-04
1013902907 Stuart S Leicht Dermatology 2898 Boones Creek Rd Ste 105, Johnson City, TN 37615-4976 2005-09-16
1447253653 George Beverly Winton Dermatology 1009 N State of Franklin Access Road, Johnson City, TN 37604-3693 2005-05-23
1609145622 Medical Education Assistance Corporation Dermatology 329 N State of Franklin Rd, Johnson City, TN 37604 2011-12-20
Find all providers in JOHNSON CITY

Competitor

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City JOHNSON CITY
Zip Code 37604

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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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