MATTHEW PAUL GARDNER (NPI# 1912123134) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912123134 |
Entity Type | Individual |
Full Name | MATTHEW PAUL GARDNER |
Credential | MD |
Practice Address |
800 N 1st St Springfield IL 62702-3719 |
Mailing Address |
1025 S 6th St Springfield IL 62703-2403 |
Practice Telephone | 2175287541 |
Mailing Telephone | 2175287541 |
Enumeration Date | 2007-04-17 |
Last Update Date | 2020-05-22 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207XX0801X |
Orthopaedic Surgery Specialization: Orthopaedic Trauma |
036128248 | IL | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134783434 | Matthew Lee Gardner | Pharmacist | 413 Lilly Rd Ne, Olympia, WA 98506-5133 | 2019-04-23 |
1518423151 | Matthew Gardner | Physician Assistant | 1307 Federal St Ste 301, Pittsburgh, PA 15212-4769 | 2019-02-19 |
1528562634 | Matthew Darnell Gardner | Pharmacy Technician | 4500 S Lancaster Rd, Dallas, TX 75216-7167 | 2018-03-22 |
1588016661 | Matthew Joseph Gardner | Anesthesiologist Assistant | 8900 North Kendall Drive, Baptist Hospital of Miami, Miami, FL 33176-2118 | 2016-07-12 |
Street Address |
800 N 1ST ST |
City | SPRINGFIELD |
State | IL |
Zip Code | 62702-3719 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154321222 | Piero Capecci | Orthopaedic Surgery | 800 N 1st St, Springfield, IL 62702-3719 | 2005-07-29 |
1811504087 | Dylan S Mckinney | Nurse Practitioner | 800 N 1st St, Springfield, IL 62702-3719 | 2020-09-30 |
1407460512 | Sarah L Nunez | Physical Therapist | 800 N 1st St, Springfield, IL 62702-3778 | 2020-09-04 |
1720601784 | Dorothy V Pham | Physician Assistant | 800 N 1st St, Springfield, IL 62702-3719 | 2020-05-26 |
1922644137 | Gregory L Young | Specialist/Technologist, Other | 800 N 1st St, Springfield, IL 62702-3719 | 2019-11-22 |
1912550468 | Mary R. Mullins | Nurse Practitioner | 800 N 1st St, Springfield, IL 62702-3719 | 2019-07-23 |
1588224927 | Ashley M. Boyle | Physical Therapist | 800 N 1st St, Springfield, IL 62702-3719 | 2019-06-18 |
1013572114 | Kendra Miller | Physical Therapy Assistant | 800 N 1st St, Springfield, IL 62702-3778 | 2019-05-03 |
1801451067 | Anna Neumann | Occupational Therapy Assistant | 800 N 1st St, Springfield, IL 62702-3719 | 2019-05-03 |
1316408776 | Jennifer A. Drennan | Physical Therapist | 800 N 1st St, Springfield, IL 62702-3719 | 2019-03-28 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457866519 | Mohammad Jamal Uddin Ansari | Internal Medicine | 751 N Rutledge St Ste 400, Springfield, IL 62702 | 2017-12-11 |
1588105811 | Mickey Graphia | Surgery | 701 N 1st St # D346, Springfield, IL 62702 | 2017-03-20 |
1376908913 | Abdul Hannan | Internal Medicine | 315 W Carpenter St # B, Springfield, IL 62702 | 2015-12-28 |
1871986414 | Rachel Hoselton | Nurse Practitioner | 400 N 9th St Fl 4, Springfield, IL 62702 | 2015-03-06 |
1548697774 | Alyssa Wilson | Behavioral Analyst | 232 Bruns Lane, One Sparcenter Plaza, Springfield, IL 62702 | 2013-10-02 |
1174965446 | Amy Wilson | Speech-Language Pathologist | 2120 West Washington Street, Springfield, IL 62702 | 2013-07-26 |
1275898116 | Pele Boutrous Dina | Pediatrics | 415 N 9th St # 4w16, Springfield, IL 62702 | 2012-07-06 |
1427327733 | Brook D Croke | Genetic Counselor, MS | 400 N. 9th Street, 3rd Floor Clinic B, Springfield, IL 62702 | 2011-12-16 |
1629352604 | Renae M Sanchez | Pharmacist | 3216 East Clearlake Ave, Springfield, IL 62702 | 2011-10-07 |
1982915302 | William Leland Zelkovich | Radiology | 701 N 1st, Springfield, IL 62702 | 2010-06-30 |
Find all providers in zip 62702 |
Taxonomy Code | 207XX0801X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
Specialization | Orthopaedic Trauma |
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic trauma surgeons deal with the evaluation and management of acute orthopaedic injuries, evaluation and treatment of post-traumatic deformities and nonunions, acute and delayed reconstruction of pelvic and acetabular fractures, as well as osteotomy in the adult hip for treatment of hip arthritis. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891139572 | Brett Justin Pettett | Orthopaedic Surgery | 3045 S National Ave Ste 110, Springfield, MO 65804-4268 | 2013-04-24 |
1245434828 | David Joshua Merriman | Orthopaedic Surgery | 1229 E Seminole St, Ste 230, Springfield, MO 65804-2227 | 2007-06-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467645390 | Michal Pawel Zlowodzki | Orthopaedic Surgery | 2350 N Rockton Ave Fl 5, Rockford, IL 61103-3600 | 2007-08-23 |
1144721077 | Alana Eatinger | Orthopaedic Surgery | 5841 S Maryland Ave, Chicago, IL 60637-1443 | 2018-02-26 |
1578971487 | Northern Illinois Trauma Regional Orthopaedics, LLC | Orthopaedic Surgery | 1235 N Mulford Rd, Suite 103, Rockford, IL 61107-3879 | 2014-07-24 |
1629496609 | Rick Wang | Orthopaedic Surgery | 1740 W Taylor St, Chicago, IL 60612-7232 | 2014-04-07 |
1073872248 | Garin Gil Hecht | Orthopaedic Surgery | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2012-05-09 |
1629245717 | Richard A Geline M.d.s.c | Orthopaedic Surgery | 1225 Central Rd, Glenview, IL 60025-4349 | 2008-05-08 |
1639294952 | Steven Arthur Chandler | Orthopaedic Surgery | 9618 Southwest Highway, Oak Lawn, IL 60453-2862 | 2007-03-20 |
1528128089 | James Kapotas | Orthopaedic Surgery | 1901 W Harrison St, Chicago, IL 60612-3714 | 2006-12-12 |
1548357668 | Erika Mitchell | Orthopaedic Surgery | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2006-10-09 |
1255314217 | Forrest Riordan | Orthopaedic Surgery | 1200 W State St, Rockford, IL 61102-2112 | 2005-11-23 |
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City | SPRINGFIELD |
Zip Code | 62702 |
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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.