TIMOTHY F GARDNER (NPI# 1962466938) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962466938 |
| Entity Type | Individual |
| Full Name | TIMOTHY F GARDNER |
| Credential | NP |
| Practice Address |
4802 Broadway Gary IN 46408-4509 |
| Mailing Address |
9900 Bren Rd E Minnetonka MN 55343-9664 |
| Practice Telephone | 2198874950 |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2020-06-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 71001772B | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200496760 | 05 |
| 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 |
| 1861482465 | Timothy Lee Gardner | Dermatology | 1009 N State of Franklin Access Rd, Johnson City, TN 37604-3693 | 2005-10-25 |
| 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 |
| 1851387229 | Timothy B Gardner | Internal Medicine | 1 Medical Center Dr, Lebanon, NH 03756-1000 | 2005-09-21 |
| Street Address |
4802 BROADWAY |
| City | GARY |
| State | IN |
| Zip Code | 46408-4509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306842786 | Kupusamy Umapathy | Internal Medicine | 4802 Broadway, Gary, IN 46408-4509 | 2005-06-22 |
| 1790035244 | Umapathy Md, PC | Internal Medicine | 4802 Broadway, Gary, IN 46408-4509 | 2012-09-12 |
| 1578738464 | Nephrology Specialists, P.C. | Internal Medicine | 4802 Broadway, Gary, IN 46408-4509 | 2008-04-23 |
| 1952364648 | Trc - Indiana LLC | Clinic/Center | 4802 Broadway, Gary, IN 46408 | 2006-04-11 |
| 1619972114 | David Ashbach | Internal Medicine | 4802 Broadway, Gary, IN 46408-4509 | 2005-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497275788 | Brynn T Shelton | Home Health Aide | 4138 Ruthledge St, Gary, IN 46408 | 2017-06-27 |
| 1306243027 | Around The Clock Transportation | Non-emergency Medical Transport (VAN) | 3979 Cleveland St, Gary, IN 46408 | 2014-11-24 |
| 1710900956 | Home Health Services Inc | Home Health | 1281 W Ridge Road, Gary, IN 46408 | 2006-07-26 |
| 1023031978 | Nkechi Pauline Onyeukwu | Nurse Practitioner | 3814 Grant Street, Gary, IN 46408 | 2006-07-25 |
| 1093724007 | Geoffrey Okechukwu Onyeukwu | Family Medicine | 3814 Grant Street, Gary, IN 46408 | 2006-08-07 |
| 1629091863 | Home Health Medical Supplies Inc | Durable Medical Equipment & Medical Supplies | 1281 W Ridge Road, Gary, IN 46408 | 2006-07-26 |
| 1073510244 | Broadway Foot Clinic Corporation | Podiatrist | 3290 Grant St, Suite 108, Gary, IN 46408-1015 | 2005-07-03 |
| 1205180676 | Fresenius Medical Care Nw Indiana, LLC | Clinic/Center | 3290 Grant St, Gary, IN 46408-1015 | 2012-11-06 |
| 1194830935 | Everest Healthcare Indiana, Inc. | Clinic/Center | 3290 Grant St, Gary, IN 46408-1015 | 2006-08-20 |
| 1912067349 | Indiana University Northwest | Dentist | 3400 Broadway, Gary, IN 46408-1101 | 2006-12-08 |
| Find all providers in zip 46408 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306224597 | Stephanie Spencer | Nurse Practitioner | 3229 Broadway Ave., Suite 205, Gary, IN 46409-2512 | 2015-05-08 |
| 1023031978 | Nkechi Pauline Onyeukwu | Nurse Practitioner | 3814 Grant Street, Gary, IN 46408 | 2006-07-25 |
| 1255395737 | Judith Heilman | Nurse Practitioner | 1705 W 25th Ave Ste 102, Gary, IN 46404-3544 | 2006-04-13 |
| 1558829069 | Kennitha Barnes | Nurse Practitioner | 1100 W 6th Ave, Gary, IN 46402-1711 | 2019-03-05 |
| 1285989152 | Angela G Mckinney | Nurse Practitioner | Rr 103 Supply Street, Gary, WV 24836-0507 | 2012-07-17 |
| 1366513228 | Lavetta Hutchinson | Nurse Practitioner | Route 103 Supply Street, Gary, WV 24836-0507 | 2006-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538769948 | Amy Renee Bradley | Nurse Practitioner | 10404 Cerulean Dr, Noblesville, IN 46060-7676 | 2020-10-27 |
| 1083213607 | Medihealth Primary Care LLC | Nurse Practitioner | 2345 W Franklin St Ste 102, Evansville, IN 47712-5100 | 2020-10-23 |
| 1891394599 | Laury Farrell | Nurse Practitioner | 6017 Stoney Creek Dr, Fort Wayne, IN 46825-4410 | 2020-10-22 |
| 1255930657 | Caitlyn Shuck | Nurse Practitioner | 2641 Marsh Hawk Dr, Greenwood, IN 46143-5749 | 2020-10-19 |
| 1730787599 | Crystal Neal | Nurse Practitioner | 4430 Keeneland Ln Unit 202, Fort Wayne, IN 46845-1985 | 2020-10-14 |
| 1285240390 | Amy D Perry | Nurse Practitioner | 728 N Cross Pointe Blvd # 102, Evansville, IN 47715-9163 | 2020-09-23 |
| 1013523588 | Amy Deion Stitt | Nurse Practitioner | 738 E 200 N, Warsaw, IN 46582-4658 | 2020-09-21 |
| 1881200152 | Positive Energy Health Center LLC | Nurse Practitioner | 5023 E 56th St Ste 130, Indianapolis, IN 46226-1471 | 2020-09-21 |
| 1417574013 | Hellen Gathesha | Nurse Practitioner | 2123 W Irvington Dr, South Bend, IN 46614 | 2020-06-30 |
| 1821615485 | Denise Michelle Alexander | Nurse Practitioner | 815 West 2nd Street, Bloomington, IN 47403-2212 | 2020-06-30 |
| 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.