Timothy L Gardner (NPI# 1861482465, PAC ID# 1355331547) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1861482465 |
| PAC ID by PECOS | 1355331547 |
| Professional Enrollment ID | I20180905003222 |
| Full Name | Timothy L Gardner |
| Organization Legal Name | INTEGRATED DERMATOLOGY OF GLOUCESTER, LLC |
| Address |
6790 Wood Ridge Dr Gloucester VA 23061-4377 |
| Phone Number | 8046936527 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE |
| Graduation Year | 1993 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 8325398043 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490130 | RIVERSIDE WALTER REED HOSPITAL |
| 440120 | PHYSICIANS REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 6790 Wood Ridge Dr, Gloucester, VA 23061-4377 | 8046936527 | INTEGRATED DERMATOLOGY OF GLOUCESTER, LLC |
| Organization Legal Name | INTEGRATED DERMATOLOGY OF GLOUCESTER, LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alonna W Harris | Nurse Practitioner | Integrated Dermatology of Gloucester, LLC | 6790 Wood Ridge Dr, Gloucester, VA 23061-4377 |
| Street Address |
6790 WOOD RIDGE DR |
| City | GLOUCESTER |
| State | VA |
| Zip | 23061-4377 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alonna W Harris | Nurse Practitioner | Integrated Dermatology of Gloucester, LLC | 6790 Wood Ridge Dr, Gloucester, VA 23061-4377 |
| David W Muffelman | Dermatology | 6790 Wood Ridge Dr, Gloucester, VA 23061-0693 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Layton W Merithew | Chiropractic | 6091 George Washington Memorial Hwy, Gloucester, VA 23061-3750 | |
| Wayne J Reynolds | Family Medicine | Sentara Medical Group | 5659 Pkwy Dr, Suite 210, Gloucester, VA 23061-3782 |
| Richard A. Hoefer | General Surgery | Sentara Medical Group | 5659 Pkwy Dr, Suite 100, Gloucester, VA 23061-3782 |
| Paula K Figgs | Physician Assistant | Hampton Roads Otolaryngology Associates Pllc | 5659 Pkwy Dr, Gloucester, VA 23061-3792 |
| Michael E Landis | Vascular Surgery | Sentara Medical Group | 5659 Pkwy Dr, Gloucester, VA 23061-3792 |
| Bonnie J Brooks | Internal Medicine | Sentara Medical Group | 5659 Pkwy Dr, Gloucester, VA 23061-3792 |
| John A Kirk | Physician Assistant | Velocity Urgent Care LLC | 5659 Pkwy Dr, Gloucester, VA 23061-3792 |
| Robert M Kowalewski | Rheumatology | Sentara Medical Group | 5659 Pkwy Dr, Gloucester, VA 23061-3792 |
| Abay T Taddesse | Hospitalist | Sentara Medical Group | 5659 Pkwy Dr, Gloucester, VA 23061-3792 |
| Michael James Jacobson | Otolaryngology | Hampton Roads Otolaryngology Associates Pllc | 5659 Pkwy Dr, Gloucester, VA 23061-3792 |
| Find all physicians in zip 23061 | |||
| City | GLOUCESTER |
| Zip Code | 23061 |
| Specialty | DERMATOLOGY |
| City + Specialty | GLOUCESTER + DERMATOLOGY |
Please comment or provide details below to improve the information on Timothy L 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.