BARRY GARDNER (NPI# 1922049923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922049923 |
| Entity Type | Individual |
| Full Name | BARRY GARDNER |
| Credential | MD |
| Practice Address |
1400 N 500 E Logan UT 84341-2455 |
| Mailing Address |
Po Box 25535 Salt Lake City UT 84125-0535 |
| Practice Telephone | 4357161000 |
| Mailing Telephone | 8668987136 |
| Mailing Fax Number | 6169759824 |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2008-10-13 |
| 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 |
319532 | UT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | D1618 | 05 | |
| ID | 807469200 | 05 | |
| RAILROAD MEDICARE | P00393212 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376554782 | Barry Gardner | Chiropractor | 4835 S Fulton Ave, 103, Tulsa, OK 74135-6995 | 2006-08-10 |
| 1033197231 | Barry Lee Gardner | Radiology | 1644 Medical Center Pt, Suite 100, Colorado Springs, CO 80907-5760 | 2006-01-06 |
| Street Address |
1400 N 500 E |
| City | LOGAN |
| State | UT |
| Zip Code | 84341-2455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376540955 | Mark D Anderson | Radiology | 1400 N 500 E, Logan, UT 84341-2455 | 2005-06-28 |
| 1790306884 | Kevin Willis Hall | Physical Medicine & Rehabilitation | 1400 N 500 E, Logan, UT 84341-2455 | 2020-04-30 |
| 1265094742 | Jacob Sanderson | Emergency Medicine | 1400 N 500 E, Logan, UT 84341-2455 | 2019-07-03 |
| 1497317523 | Adele Perry Rosenauer | Speech-Language Pathologist | 1400 N 500 E, Logan, UT 84341-2455 | 2019-06-28 |
| 1174086581 | Ridgeview Pathology LLC | Pathology | 1400 N 500 E, Logan, UT 84341-2455 | 2019-04-11 |
| 1639659543 | Angelee Hancey | Dietitian, Registered | 1400 N 500 E, Logan, UT 84341-2455 | 2018-08-20 |
| 1144736372 | Ihc Health Services Inc | Radiology | 1400 N 500 E, Logan, UT 84341-2455 | 2017-12-26 |
| 1992231534 | Laycee Mozingo | Dietitian, Registered | 1400 N 500 E, Logan, UT 84341-2455 | 2017-05-02 |
| 1568996072 | Cache Valley Pathology, LLC | Pathology | 1400 N 500 E, Logan, UT 84341-2455 | 2017-04-12 |
| 1255873352 | Karen Tibbitts Filimoehala | Speech-Language Pathologist | 1400 N 500 E, 1st Floor, Logan, UT 84341-2455 | 2016-11-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538701529 | Aubrey Salmond | Registered Nurse | 500 East 1500 N, Logan, UT 84341 | 2019-10-11 |
| 1043702046 | Eye Pros of Logan LLC | Optometrist | 1475 N Main St Ste 103, Logan, UT 84341 | 2018-06-05 |
| 1275050452 | Rylie Jeanne Cook | Student in an Organized Health Care Education/Training Program | 11 Aggie Village Apt. J, Logan, UT 84341 | 2017-08-28 |
| 1093262156 | Jessica Lynn Mcgarry | Social Worker | 1040 N 130 W, Apt 100, Logan, UT 84341 | 2016-09-07 |
| 1740663566 | Paul R Gregory | Occupational Therapy Assistant | 1300 N 500 E Suite 120, Suite 120, Logan, UT 84341 | 2015-06-30 |
| 1851708846 | Bradley Budge | Optometrist | 535 E 1400 N Ste 130, Logan, UT 84341 | 2014-07-22 |
| 1386058709 | Daniel Raymond Carlson | Physician Assistant | 500 E. 1400 N., Logan, UT 84341 | 2014-06-13 |
| 1902220239 | Work Injury Solutions Inc. | Clinic/Center | 630 E 1400 N Ste 140, Logan, UT 84341 | 2014-02-06 |
| 1750627287 | Lee Martin Williams Sr. | Counselor | 186 E. 1800 N., North Logan, UT 84341 | 2013-01-03 |
| 1669747804 | Ronald J Payne | Internal Medicine | 1726 North 1850 East, North Logan, UT 84341 | 2012-03-21 |
| Find all providers in zip 84341 | ||||
| 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 |
|---|---|---|---|---|
| 1386243426 | Rodney L Hammer | Emergency Medicine | 179 N Main St Ste 309, Logan, UT 84321-5143 | 2020-10-20 |
| 1982246047 | Gessner Peterson House Calls Inc | Emergency Medicine | 41 E 400 N # 316, Logan, UT 84321-4020 | 2019-10-10 |
| 1598866691 | Devon E. Dahlke | Emergency Medicine | 630 E 1400 N Ste 150, Logan, UT 84341-2549 | 2006-09-25 |
| 1578597647 | Edward Hunter Redd | Emergency Medicine | 655 E 1300 N, Logan, UT 84341 | 2006-07-11 |
| 1477575041 | Matthew F Harris | Emergency Medicine | 1400 N 500 E, Logan, UT 84341 | 2006-07-24 |
| 1447285762 | Richard J Ingebretsen | Emergency Medicine | 1400 N 500 E, Logan, UT 84341-2455 | 2006-07-12 |
| 1508890682 | Danny E Spencer | Emergency Medicine | 1400 N 500 E, Logan, UT 84341 | 2006-07-11 |
| 1487688552 | John Barrett | Emergency Medicine | 1400 N 500 E, Logan, UT 84341 | 2006-07-11 |
| 1417981234 | Ryan J Stolworthy | Emergency Medicine | 1400 N 500 E, Logan, UT 84341 | 2006-07-10 |
| 1255362273 | Douglas P Plowman | Emergency Medicine | 1400 N 500 E, Logan, UT 84341 | 2006-07-06 |
| Find all providers in LOGAN | ||||
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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.