DR. GLENN C GARDNER (NPI# 1982653929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982653929 |
| Entity Type | Individual |
| Full Name | DR. GLENN C GARDNER |
| Credential | MD |
| Practice Address |
7710 Mercy Road Suite 305 Omaha NE 68124 |
| Practice Telephone | 4023931338 |
| Practice Fax Number | 4023936924 |
| Mailing Telephone | 4023931338 |
| Mailing Fax Number | 4023936924 |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2009-06-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 21949 | NE | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 91175912513 | 05 |
| 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 |
| 1932165321 | Glenn Pierce Gardner | Surgery | 1086 Franklin St, Ste 3002, Johnstown, PA 15905-4305 | 2006-04-25 |
| Street Address |
7710 MERCY ROAD SUITE 305 |
| City | OMAHA |
| State | NE |
| Zip Code | 68124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477534055 | Dennis F Hayes | Specialist | 7710 Mercy Road, Suite 404, Omaha, NE 68124-2346 | 2005-11-09 |
| 1346867587 | Keithstone Young Kim | Family Medicine | 7710 Mercy Road, Suite 202 - Cu Department of Family Medicine, Omaha, NE 68124-2353 | 2020-07-04 |
| 1548883069 | Joseph Andrew Frederickson | Internal Medicine | 7710 Mercy Road, Suite 202 - Cu Department of Internal Medicine, Omaha, NE 68124-2353 | 2020-05-19 |
| 1265084339 | Mohammed M Qasswal | Internal Medicine | 7710 Mercy Road, Suite 202, Cu Department of Internal Medicine, Omaha, NE 68124-2353 | 2019-07-09 |
| 1013569185 | Mounika Addula | Internal Medicine | 7710 Mercy Road, Suite 220, Omaha, NE 68124-2353 | 2019-07-09 |
| 1922660034 | Zehra S Dahlvani | Family Medicine | 7710 Mercy Road, Suite 202 - Cu Department of Family Medicine, Omaha, NE 68124-2353 | 2019-06-28 |
| 1205315678 | Navdeep Kaur Dehal | Internal Medicine | 7710 Mercy Road, Ste 202- Cu Department of Internal Medicine, Omaha, NE 68124-2353 | 2018-08-07 |
| 1407333453 | Joseph Haggerty IIi | Obstetrics & Gynecology | 7710 Mercy Road, Suite 202- Cu Department of Obstetrics and Gynecology, Omaha, NE 68124 | 2018-07-23 |
| 1174009534 | Spencer Ferrell | Obstetrics & Gynecology | 7710 Mercy Road, Suite 202 Cu Department of Obstetrics-gynecology, Omaha, NE 68124-2353 | 2018-07-18 |
| 1073009023 | Mu-hsiang Joy Wang | Family Medicine | 7710 Mercy Road, Suite 202 - Cu Department of Family Medicine, Omaha, NE 68124-2353 | 2018-07-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891312443 | Stefany Malanka | Family Medicine | 7710 Mercy Rd, Suite 202, Cu Department of Family Medicine, Omaha, NE 68124 | 2020-06-30 |
| 1902468937 | Keith William Vrbicky Jr. | Obstetrics & Gynecology | 7710 Mercy Road, Suite 202 - Cu Department of Ob/gyn, Omaha, NE 68124 | 2019-06-29 |
| 1699255869 | Nicholas Williams | Psychiatry & Neurology | 7701 Mercy Road, Suite 601, Omaha, NE 68124 | 2018-08-17 |
| 1801315197 | Sweet Dreams Anesthesia | Clinic/Center | 1755 Ridgewood Ave, Omaha, NE 68124 | 2017-09-18 |
| 1295257657 | Margaret R Hodges | Dietitian, Registered | 8715 Oak Street, Omaha, NE 68124 | 2017-07-07 |
| 1346761061 | Meredith Shama | Obstetrics & Gynecology | 7710 Mercy Rd Ste 202-cu Department of Obgyn, Omaha, NE 68124 | 2017-07-03 |
| 1578010542 | Mary Ellen Royer | Counselor | 8715 Oak St., Omaha, NE 68124 | 2016-09-07 |
| 1750759361 | Pain Centers of The Midlands LLC | Anesthesiology | 2808 S. 80th Ave, Suite 230, Omaha, NE 68124 | 2015-09-14 |
| 1184005738 | Sharon D Jackson | Counselor | 8031 West Center Rd Ste 207, Omaha, NE 68124 | 2015-06-09 |
| 1841631215 | Nebraska Organ Recovery System | Organ Procurement Organization | 8502 West Center Road, Omaha, NE 68124 | 2013-07-12 |
| Find all providers in zip 68124 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548821788 | Binghua Li | Surgery | 7710 Mercy Rd Ste 202 Cu-department of Surgery, Omaha, NE 68124-2353 | 2019-06-27 |
| 1225514185 | Lillia Cherkasskiy | Surgery | 7710 Mercy Road, Suite 202- Cu Department of Surgery, Omaha, NE 68124-2353 | 2018-07-13 |
| 1114441326 | Charles David Voigt | Surgery | 7710 Mercy Rd Ste 202 Cu Department of Surgery, Omaha, NE 68124-2368 | 2017-07-29 |
| 1992226617 | Andy W. Yang | Surgery | 7710 Mercy Road, Suite 202, Cumc Department of Surgery, Omaha, NE 68124-2353 | 2017-07-03 |
| 1639625999 | Samuel Ramon Brown | Surgery | 601 N. 30th St. Cu Department of Surgery, Omaha, NE 68131 | 2016-08-28 |
| 1104279314 | German Eduardo Mendoza | Surgery | 601 N. 30th St. - Cu Dept of Surgery, Omaha, NE 68131-2128 | 2016-07-22 |
| 1205289238 | Srilakshmi Reddy | Surgery | 601 N 30th St -cu Department of General Surgery, Omaha, NE 68131 | 2016-07-14 |
| 1710360730 | Timothy Hallman | Surgery | 601 N. 30th St. -- Cu Department of Surgery, Omaha, NE 68131 | 2015-07-08 |
| 1356723225 | Bhavani Pokala | Surgery | 1015 N 14th St # 215, Omaha, NE 68102-4205 | 2015-06-26 |
| 1043692494 | Joshua Belle | Surgery | 983230 Nebraska Medical Ctr, Omaha, NE 68198-6426 | 2015-06-22 |
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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.