Blake Isaac Gardner (NPI# 1134301997, PAC ID# 0840322954) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERVENTIONAL CARDIOLOGY.
| Nation Provider ID (NPI) | 1134301997 |
| PAC ID by PECOS | 0840322954 |
| Professional Enrollment ID | I20130514000448 |
| Full Name | Blake Isaac Gardner |
| Organization Legal Name | IHC HEALTH SERVICES INC |
| Address |
544 S 400 St George UT 84770-3705 |
| Phone Number | 4356884080 |
| Gender | M |
| Medical School | UNIVERSITY OF MIAMI SCHOOL OF MEDICINE |
| Graduation Year | 2006 |
| Primary Specialty | INTERVENTIONAL CARDIOLOGY |
| Secondary Specialties | CARDIOVASCULAR DISEASE (CARDIOLOGY), INTERNAL MEDICINE |
| Group Practice PAC ID | 1850209420 |
| Number of Group Practice Members | 2290 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 460021 | DIXIE REGIONAL MEDICAL CENTER |
| 460007 | CEDAR CITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1380 E Medical Ctr Dr, Suite 1500, St George, UT 84790-2128 | 4352512500 | IHC HEALTH SERVICES INC |
| 544 S 400, St George, UT 84770-3705 | 4356884080 | IHC HEALTH SERVICES INC |
| Organization Legal Name | IHC HEALTH SERVICES INC |
| Physicians | 2509 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ewa Anna Gniado | Internal Medicine | Ihc Health Services Inc | 4403 Harrison Blvd, Suite 3630, Ogden, UT 84403-3287 |
| Jennifer Christine Green | Nurse Practitioner | Ihc Health Services Inc | 3845 W 4700, Taylorsville, UT 84129-3454 |
| Logan M. Kupitz | Physician Assistant | Ihc Health Services Inc | 1750 Sidewater Dr, Park City, UT 84060-7570 |
| Patricia Maffei Grissom | Nurse Practitioner | Ihc Health Services Inc | 1915 W 5950, Roy, UT 84067-1454 |
| Daniel Noall Bennett | Cardiovascular Disease (cardiology) | Ihc Health Services Inc | 1175 E 50 S, 251 Afh Af Cardiology, American Fork, UT 84003-2850 |
| Alec Kitch | Family Medicine | Ihc Health Services Inc | 777 N Main St, Tooele, UT 84074-1611 |
| Steven Earl Baum | Family Medicine | Ihc Health Services Inc | 962 Sage Dr, Cedar City, UT 84720-1885 |
| Michaela Karrin Johnson | Nurse Practitioner | Ihc Health Services Inc | 110 W 1325, Suite 100, Cedar City, UT 84721-8101 |
| Reid Joseph Leinart | Nurse Practitioner | Ihc Health Services Inc | 9660 S 1300, Sandy, UT 84094-3762 |
| James Michael Wilks | Physical Therapy | Ihc Health Services Inc | 280 N Main St, Bountiful, UT 84010-6136 |
| Street Address |
544 S 400 |
| City | ST GEORGE |
| State | UT |
| Zip | 84770-3705 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ryan Eldredge Wilcox | Hematology/oncology | Ihc Health Services Inc | 544 S 400, St George, UT 84770-3705 |
| Bryndon B Hatch | Physical Medicine and Rehabilitation | Ihc Health Services Inc | 544 S 400, St George, UT 84770-3705 |
| Terence Duane Rhodes | Medical Oncology | Ihc Health Services Inc | 544 S 400, St George, UT 84770-3705 |
| Aaron Vazquez | Psychiatry | Ihc Health Services Inc | 544 S 400, St George, UT 84770-3705 |
| Lisa Doyle | Emergency Medicine | Ihc Health Services Inc | 544 S 400, St George, UT 84770-3705 |
| Michael Joseph Cascio | Preventative Medicine | Ihc Health Services Inc | 544 S 400, St George, UT 84770-3705 |
| Craig W Donaldson | Radiation Oncology | Ihc Health Services Inc | 544 S 400, St George, UT 84770-3705 |
| Steven B Davis | Diagnostic Radiology | Ihc Health Services Inc | 544 S 400, Drmc Physicians Billing, St George, UT 84770-3705 |
| Nicole Cummins | Nurse Practitioner | Ihc Health Services Inc | 544 S 400, St George, UT 84770-3705 |
| Cindy M Duke | Psychologist, Clinical | Ihc Health Services Inc | 544 S 400, St George, UT 84770-3705 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert S Mcknight | Chiropractic | 619 S Bluff St, Suite 100, Saint George, UT 84770-1232 | |
| Brett D Christiansen | Emergency Medicine | Ihc Health Services Inc | 1380 E Medical Ctr Dr, Drmc Critical Care Pulm, St George, UT 84770-2122 |
| Richard A Sorensen | Emergency Medicine | Ihc Health Services Inc | 1380 E Medical Ctr Dr, Drmc Critical Care Pulm, St George, UT 84770-2122 |
| Nathan L Holman | Emergency Medicine | Ihc Health Services Inc | 1380 E Medical Ctr Dr, Drmc Critical Care Pulm, St George, UT 84770-2122 |
| Scott J Jolley | Emergency Medicine | Ihc Health Services Inc | 1380 E Medical Ctr Dr, Drmc Critical Care Pulm, St George, UT 84770-2122 |
| Charles William Tate Iii | Cardiac Electrophysiology | Ihc Health Services Inc | 1380 E Medical Ctr Dr, Drmc Critical Care Pulm, St George, UT 84770-2122 |
| Jared Colton Cox | Emergency Medicine | Ihc Health Services Inc | 1380 E Medical Ctr Dr, Drmc Critical Care Pulm, St George, UT 84770-2122 |
| Michael M Woodruff | Emergency Medicine | Ihc Health Services Inc | 1380 E Medical Ctr Dr, Drmc Critical Care Pulm, St George, UT 84770-2122 |
| Nicholas Henry Laffely | Cardiovascular Disease (cardiology) | Ihc Health Services Inc | 1380 E Medical Ctr Dr, Drmc Critical Care Pulm, St George, UT 84770-2122 |
| Bradley J Crosby | Emergency Medicine | Ihc Health Services Inc | 1380 E Medical Ctr Dr, Drmc Critical Care Pulm, St George, UT 84770-2122 |
| Find all physicians in zip 84770 | |||
| City | ST GEORGE |
| Zip Code | 84770 |
| Specialty | INTERVENTIONAL CARDIOLOGY |
| City + Specialty | ST GEORGE + INTERVENTIONAL CARDIOLOGY |
Please comment or provide details below to improve the information on Blake Isaac Gardner.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.