GLENN PIERCE GARDNER


Address: 1086 Franklin St, Ste 3002, Johnstown, PA 15905-4305
Phone: 8145349194

GLENN PIERCE GARDNER (NPI# 1932165321) 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) 1932165321
Entity Type Individual
Full Name GLENN PIERCE GARDNER
Credential MD
Practice Address 1086 Franklin St
Ste 3002
Johnstown
PA 15905-4305
Mailing Address 1086 Franklin St
Johnstown
PA 15905-4305
Practice Telephone 8145349194
Practice Fax Number 8145345847
Mailing Telephone 8144108300
Mailing Fax Number 8144108331
Enumeration Date 2006-04-25
Last Update Date 2016-03-09
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2086S0129X Surgery
Specialization: Vascular Surgery
MD 60118824 WA Allopathic & Osteopathic Physicians
N 2086S0129X Surgery
Specialization: Vascular Surgery
20050400008 MO Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MO BLUE SHIELD/BLUE CHOICE 202277 01
MO HEALTHLINK 259599 01
MO 206237307 05
PA 001543260 05

Other Providers GLENN GARDNER

NPI Name Taxonomy Address Enumeration
1861483810 Glenn David Gardner Internal Medicine 1324 Valentine St, Melbourne, FL 32901-3128 2005-10-31
1881647675 Glenn Gardner Anesthesiology 3815 Highland Ave, Downers Grove, IL 60515-1500 2006-05-19
1982653929 Glenn C Gardner Surgery 7710 Mercy Road, Suite 305, Omaha, NE 68124 2006-05-08

Office Location

Street Address 1086 FRANKLIN ST
STE 3002
City JOHNSTOWN
State PA
Zip Code 15905-4305

Providers in the same location

NPI Name Taxonomy Address Enumeration
1427051440 Conemaugh Health Initiatives Anesthesiology 1086 Franklin St, Ste A401, Johnstown, PA 15905-4305 2005-05-23
1245838010 Kristen Chislow Registered Nurse 1086 Franklin St, Johnstown, PA 15905-4305 2020-10-14
1043818032 Derick Mostoller Registered Nurse 1086 Franklin St, Johnstown, PA 15905-4305 2020-10-13
1891301776 Karen Richtar Physician Assistant 1086 Franklin St, Johnstown, PA 15905-4305 2020-09-16
1942819149 Asfand Yar Butt Internal Medicine 1086 Franklin St, Johnstown, PA 15905-4305 2020-07-24
1285243535 Muhammad Naqvi Family Medicine 1086 Franklin St, Johnstown, PA 15905-4305 2020-07-23
1245849405 Steven William Davie Internal Medicine 1086 Franklin St, Johnstown, PA 15905-4305 2020-07-23
1871102038 Shehbaz Ahmad Internal Medicine 1086 Franklin St, Johnstown, PA 15905-4305 2020-07-23
1467061606 Iyad Aljadba Internal Medicine 1086 Franklin St, Johnstown, PA 15905-4305 2020-07-23
1396353686 Symaya Hoque Family Medicine 1086 Franklin St, Johnstown, PA 15905-4305 2020-07-22
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1528552445 Kristina Marie Sloan Registered Nurse Womens Center At Memorial Medical Center, 1111 Franklin St, Suite 210, Johnstown, PA 15905 2018-06-15
1376921403 Joel Edward Messom Obstetrics & Gynecology 1111 Franklin St Ste 300, Johnstown, PA 15905 2015-05-08
1497091797 Jessica Pacsai Occupational Therapist 807 Goucher Street, Johnstown, PA 15905 2012-12-14
1225396351 Lusine Mesropyan Surgery 1086 Franklin Street Good Samaritan Building, Johnstown, PA 15905 2012-04-26
1467766931 Kimberly Buchanan Speech-Language Pathologist 787 Goucher Street, Johnstown, PA 15905 2010-07-27
1205149846 Lighthouse Medical, LLC Clinic/Center 507 Tire Hill Road, Suite 100, Johnstown, PA 15905 2010-07-26
1932357878 Michael Cameron Sleet Surgery Dlp Conemaugh Memorial Hospital, 1086 Franklin Street, Johnstown, PA 15905 2008-09-04
1255528543 Assisted Living Concepts Inc Assisted Living Facility 500 Cheney Oaks Drive, Johnstown, PA 15905 2007-10-01
1578766648 Tamera Waggle Nurse Anesthetist, Certified Registered 1186 Franklin St., Johnstown, PA 15905 2007-06-07
1821206178 Blue and Green Medical PC Internal Medicine 1743 Goucher Street, Johnstown, PA 15905 2007-05-18
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Taxonomy Information

Taxonomy Code 2086S0129X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Vascular Surgery

Taxonomy Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1679707061 Conemaugh Health Initiatives Surgery 1086 Franklin St, Third Floor, Building M, Room 3002, Johnstown, PA 15905-4305 2009-05-13
1760591408 Marty M Salas Surgery 970 Franklin Street, Johnstown, PA 15905 2006-08-29

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1720630650 Broad Street Professional Medical Services LLC Surgery 2033 S Broad St Ste A, Philadelphia, PA 19148-5505 2019-07-11
1124670922 Broad Street Medical LLC Surgery 2033 S Broad St Ste B, Philadelphia, PA 19148-5505 2019-07-11
1932610755 Vascular Surgical Specialists Pllc Surgery 1450 E Boot Rd Ste 600b, West Chester, PA 19380-5968 2017-10-19
1336515956 Aria Health Physician Services Surgery 9501 Roosevelt Blvd Ste 312, Philadelphia, PA 19114-1028 2015-08-18
1437525490 Advanced Vein and Laser Center Lancaster, LLC Surgery 896a Plaza Blvd, Lancaster, PA 17601-2745 2015-08-13
1447658877 Center for Vein Restoration Pa Pllc Surgery 1338 Bristol Pike Ste 205, Bensalem, PA 19020-5679 2014-12-17
1023423167 Catherine Go Surgery 420 S Aiken Ave, Apt A6, Pittsburgh, PA 15232-1226 2014-06-27
1659703635 Walter J. Fagan Surgery 211 Center Ave, Jim Thorpe, PA 18229-1205 2013-08-01
1346521267 Usa Vein Clinics of Philadelphia LLC Surgery 51 Cameron Rd, Huntingdon Valley, PA 19006-1401 2011-09-06
1124314893 Nathan Loren Liang Surgery 200 Lothrop St # A-1017, Pittsburgh, PA 15213-2536 2011-06-21
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Competitor

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City JOHNSTOWN
Zip Code 15905

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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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