MICHAEL P. GARDNER, M.D. (NPI# 1871950030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871950030 |
| Entity Type | Organization |
| Organization Name | MICHAEL P. GARDNER, M.D. |
| Practice Address |
19260 Sw 65th Ave Ste 400 Tualatin OR 97062-5712 |
| Practice Telephone | 5036921200 |
| Practice Fax Number | 5036921220 |
| Mailing Telephone | 5036921200 |
| Mailing Fax Number | 5036921220 |
| Enumeration Date | 2016-01-19 |
| Last Update Date | 2016-01-19 |
| Authorized Official Name | MICHAEL P. GARDNER (OWNER/PRESIDENT) |
| Authorized Official Telephone | 5036921200 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | MD2270 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 288387 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | MICHAEL P. GARDNER, M.D., P.C. | 19260 Sw 65th Ave Ste 310, Tualatin, OR 97062 |
| Street Address |
19260 SW 65TH AVE STE 400 |
| City | TUALATIN |
| State | OR |
| Zip Code | 97062-5712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609233824 | Jeremiah C. Murphy, M.d., PC | Urology | 19260 Sw 65th Ave Ste 400, Tualatin, OR 97062-5712 | 2016-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467018739 | Activeedge Tualatin, LLP | Physical Therapist | 19150 Sw 90th Avenue, Suite 200, West Linn, OR 97062 | 2019-05-13 |
| 1932607934 | Naturalways Pediatrics | Clinic/Center | 18813 Sw Martiazzi Ave, Tualatin, OR 97062 | 2018-01-25 |
| 1831646280 | Elizabeth Erin Tafesse | Behavioral Analyst | 18765 Sw Boones Ferry Rd Suite 100, Tualatin, OR 97062 | 2016-09-01 |
| 1962851311 | Ana Mercedes Cerritos-sanchez | Community Health Worker | 19355 Sw 65th Ave Apt A5, Tualatin, OR 97062 | 2016-06-07 |
| 1952759318 | William Luke Summers | Counselor | 18840 Southwest Boones Ferry Rd, Suite 208, Tualatin, OR 97062 | 2016-05-26 |
| 1730536913 | Krystle Alligood | Behavioral Analyst | 18768 Sw Boones Ferry Road, Tualatin, OR 97062 | 2016-05-18 |
| 1760869739 | Oregon City Medical Nw, Inc | Clinic/Center | 6464 Sw Borland Road #d-4, Tualatin, OR 97062 | 2015-04-29 |
| 1396148904 | Tracy Filley | Clinical Nurse Specialist | 18840 Sw Boones Ferry Rd, Suite 208, Tualatin, OR 97062 | 2014-09-28 |
| 1043646474 | Michelle Lords | Registered Nurse | 7668 Sw Mohawk Street, Tualatin, OR 97062 | 2013-09-17 |
| 1871930750 | Sharon Ruth Frank | Social Worker | 7668 Sw Mohawk St., Aps Healthcare, Tualatin, OR 97062 | 2013-05-31 |
| Find all providers in zip 97062 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609233824 | Jeremiah C. Murphy, M.d., PC | Urology | 19260 Sw 65th Ave Ste 400, Tualatin, OR 97062-5712 | 2016-01-19 |
| 1437330180 | Michael P. Gardner, Md PC | Urology | 19260 Sw 65th Ave Ste 310, Tualatin, OR 97062-5710 | 2007-11-23 |
| 1104987635 | Gregory A Cost | Urology | 19250 Sw 65th Ave, Suite 235, Tualatin, OR 97062-7452 | 2006-12-12 |
| 1306895388 | Charles Edward Skeeters | Urology | 19250 Sw 65th Ave, Suite 235, Tualatin, OR 97062-7452 | 2006-05-08 |
| 1215993845 | Michael Paul Gardner | Urology | 19260 Sw 65th Ave, Suite 400, Tualatin, OR 97062-5701 | 2006-04-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609200427 | Erika Lynn Mccarthy | Urology | 2973 12th St Se, Salem, OR 97302-3162 | 2013-08-28 |
| 1770826372 | Brian Matthew Blair | Urology | 24900 Se Stark St Ste 103, Gresham, OR 97030 | 2013-04-02 |
| 1376885418 | Sasha Courand Druskin | Urology | 2226 Nw Pettygrove St, Portland, OR 97210-2608 | 2013-03-26 |
| 1871837468 | Kirit S Shah M.d., P.C. | Urology | 171 Ne 102nd Ave, Portland, OR 97220-4169 | 2012-11-20 |
| 1235409236 | Good Samaritan Hospital Corvallis | Urology | 990 Nw Circle Blvd Suite 102, Corvallis, OR 97330-1967 | 2012-01-06 |
| 1679856439 | Thomas William Konowalchuk | Urology | 1070 Ne 7th Dr, Newport, OR 97365-2518 | 2011-09-27 |
| 1730484544 | James Bresee | Urology | 9135 Sw Barnes Rd Ste 663, Portland, OR 97225 | 2011-01-26 |
| 1063734556 | Gene Thomas Baumgarner | Urology | 3986 Mirror Pond Way, Eugene, OR 97408-5954 | 2010-02-24 |
| 1144470568 | Daniel R Khalil | Urology | 700 Sw Ramsey Suite 101, Grants Pass, OR 97527-5535 | 2008-09-22 |
| 1952567653 | Oregon Urology Clinic, P.C. | Urology | 3100 Ne 28th Street Suite C, Lincoln City, OR 97367-4518 | 2008-08-01 |
| Find all providers with the same taxonomy | ||||
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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.