PETER GARDNER (NPI# 1972590578) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972590578 |
| Entity Type | Individual |
| Full Name | PETER GARDNER |
| Credential | M.D. |
| Practice Address |
92 Jordan Ln Stamford CT 06903-3914 |
| Mailing Address |
92 Jordan Lane Stamford CT 06903 |
| Practice Telephone | 2039402995 |
| Practice Fax Number | 2035476194 |
| Mailing Telephone | 2039402995 |
| Mailing Fax Number | 2035476194 |
| Enumeration Date | 2005-09-29 |
| Last Update Date | 2016-03-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 024317 | CT | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HEALTHNET ID # | 020183 | 01 | |
| UNITED HEATLHCARE ID # | 061246885 | 01 | |
| BC/BS ID # | 010027907CT01 | 01 | |
| OXFORD ID # | 25013 | 01 | |
| AETNA | 4125202 | 01 | |
| CT CARE ID # | 024317 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821127093 | Peter Thomas Gardner | General Practice | 2075 Pleasant Plains Ext Rd, Jackson, TN 38305-6087 | 2007-03-05 |
| 1205104320 | Peter Gardner | Nurse Anesthetist, Certified Registered | 3705 Medical Pkwy, Suite 570, Austin, TX 78705 | 2011-12-03 |
| 1144555244 | Peter J Gardner | Registered Nurse | 11801 Buckeye Rd, Cleveland, OH 44120-2620 | 2009-10-07 |
| Street Address |
92 JORDAN LN |
| City | STAMFORD |
| State | CT |
| Zip Code | 06903-3914 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255851481 | Stella Medical Care LLC | Skilled Nursing Facility | Villa At Stamford 88 Rock Rimmon Rd, Stamford, CT 06903 | 2017-06-20 |
| 1447529284 | Emilio Delia | Pharmacist | 29 Fairway Drive, Stamford, CT 06903 | 2011-12-23 |
| 1174696017 | City of Stamford | Skilled Nursing Facility | 88 Rock Rimmon Road, Stamford, CT 06903 | 2006-11-16 |
| 1477622579 | Stanley Rosner & Blanche A. Rosner LLC | Social Worker | 415 Saw Mill Rd, Stamford, CT 06903 | 2006-11-06 |
| 1841759107 | Debra Fink Tomsky | Speech-Language Pathologist | 2 S Lake Dr, Stamford, CT 06903-1005 | 2019-03-17 |
| 1720357528 | Herbert Steven Cohen | Psychologist | 106 Gun Club Rd, Stamford, CT 06903-1024 | 2011-12-22 |
| 1164594065 | Family Life Psychological Services PC | Psychologist | 106 Gun Club Road, Stamford, CT 06903-1024 | 2006-11-15 |
| 1316265143 | Renew Counseling Associates | Community/Behavioral Health | 455 Old Long Ridge Rd, Stamford, CT 06903-1112 | 2010-05-04 |
| 1578831525 | Alan Jule Ranhosky | General Practice | 2874 Long Ridge Rd, Stamford, CT 06903-1119 | 2011-12-06 |
| 1538772215 | Amanda Masterson | Physical Therapist | 39 Happy Hill Rd, Stamford, CT 06903-1203 | 2020-08-24 |
| Find all providers in zip 06903 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477106482 | Elevate Pt- Stamford Pllc | Specialist | 1234 Summer St Ste 102, Stamford, CT 06905-5558 | 2019-07-18 |
| 1053847632 | Lauren Haggerty | Specialist | 90 New England Dr, Stamford, CT 06903-5007 | 2017-05-03 |
| 1801279492 | Swim Whisperers Swim School New England | Specialist | 1177 High Ridge Rd Ste 116, Stamford, CT 06905-1221 | 2015-07-01 |
| 1629481544 | Violet Campbell | Specialist | 69 Myano Ln, Stamford, CT 06902-4503 | 2014-06-09 |
| 1942541099 | Gold Coast Rehabilitation Medicine | Specialist | 43 Palmer Ave Apt A, Stamford, CT 06902-5307 | 2013-03-13 |
| 1700132388 | Patrice Comninel | Specialist | 125 Forest Ln, Stamford, NY 12167-2115 | 2012-08-01 |
| 1609131135 | Jorge Ortega | Specialist | 1234 Summer St Ste 101, Stamford, CT 06905-5521 | 2012-07-10 |
| 1316208259 | Keri Ann Woodworth | Specialist | 18 Harper St, Apt 2, Stamford, NY 12167-1040 | 2012-06-07 |
| 1679842611 | Coastal Obstetrics and Gynecology PC | Specialist | 999 Summer St Ste 401, Stamford, CT 06905-5513 | 2011-12-20 |
| 1124256169 | Iveta Terkosova | Specialist | 555 Summer St, Stamford, CT 06901-1413 | 2009-06-29 |
| Find all providers in STAMFORD | ||||
Please comment or provide details below to improve the information on PETER GARDNER.
| 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.