Derek C Gardner (NPI# 1538145024, PAC ID# 3274692629) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
Nation Provider ID (NPI) | 1538145024 |
PAC ID by PECOS | 3274692629 |
Professional Enrollment ID | I20081030000419 |
Full Name | Derek C Gardner |
Organization Legal Name | WYTHE COUNTY PHYSICIAN PRACTICES LLC |
Address |
600 W Ridge Rd Wytheville VA 24382-1044 |
Phone Number | 2762280200 |
Gender | M |
Medical School | HOWARD UNIVERSITY COLLEGE OF MEDICINE |
Graduation Year | 1979 |
Primary Specialty | UROLOGY |
Group Practice PAC ID | 7517972789 |
Number of Group Practice Members | 17 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
490111 | WYTHE COUNTY COMMUNITY HOSPITAL |
Address | Phone | Organization |
---|---|---|
600 W Ridge Rd, Wytheville, VA 24382-1044 | 2762280200 | WYTHE COUNTY PHYSICIAN PRACTICES LLC |
Organization Legal Name | WYTHE COUNTY PHYSICIAN PRACTICES LLC |
Physicians | 11 |
Name | Specialty | Organization | Address |
---|---|---|---|
Parrisa Bauker Rupe | Physician Assistant | Wythe County Physician Practices LLC | 791 Fort Chiswell Rd, Suite A, Max Meadows, VA 24360-4139 |
Annabelle Lee Pannell | Nurse Practitioner | Wythe County Physician Practices LLC | 245 Holston Rd, Suite B, Wytheville, VA 24382-4486 |
Erin Elizabeth Justice | Nurse Practitioner | Wythe County Physician Practices LLC | 600 W Ridge Rd, Wytheville, VA 24382-1044 |
Christopher G Palmer | Orthopedic Surgery | Wythe County Physician Practices LLC | 600 W Ridge Rd, Wytheville, VA 24382-1044 |
Joseph Terry | Obstetrics/gynecology | Wythe County Physician Practices LLC | 791 Fort Chiswell Rd, Suite A, Max Meadows, VA 24360-4139 |
Paul J Roberto | Urology | Wythe County Physician Practices LLC | 600 W Ridge Rd, Wytheville, VA 24382-1044 |
Catherine D Harrington | Nurse Practitioner | Wythe County Physician Practices LLC | 791 Fort Chiswell Rd, Suite A, Max Meadows, VA 24360-4139 |
Scotty G Dove | Family Medicine | Wythe County Physician Practices LLC | 791 Fort Chiswell Rd, Suite A, Max Meadows, VA 24360-4139 |
Norman Paul Morin Ii | Orthopedic Surgery | Wythe County Physician Practices LLC | 600 W Ridge Rd, Wytheville, VA 24382-1044 |
Gwendolyn F Sechrest | Nurse Practitioner | Wythe County Physician Practices LLC | 600 W Ridge Rd, Wytheville, VA 24382-1044 |
Street Address |
600 W RIDGE RD |
City | WYTHEVILLE |
State | VA |
Zip | 24382-1044 |
Name | Specialty | Organization | Address |
---|---|---|---|
Mark Stowe | Emergency Medicine | Emergency Coverage Corp | 600 W Ridge Rd, Wythe County Comm Hosp, Wytheville, VA 24382-1099 |
Audrey Louise Grant | Emergency Medicine | Emergency Coverage Corp | 600 W Ridge Rd, Wythe County Comm Hosp, Wytheville, VA 24382-1099 |
Douglas A Jentilet | Emergency Medicine | Emergency Coverage Corp | 600 W Ridge Rd, Wythe County Comm Hosp, Wytheville, VA 24382-1099 |
Erin Elizabeth Justice | Nurse Practitioner | Wythe County Physician Practices LLC | 600 W Ridge Rd, Wytheville, VA 24382-1044 |
Christopher G Palmer | Orthopedic Surgery | Wythe County Physician Practices LLC | 600 W Ridge Rd, Wytheville, VA 24382-1044 |
Chase King | Family Medicine | Emergency Coverage Corp | 600 W Ridge Rd, Wythe County Comm Hosp, Wytheville, VA 24382-1099 |
Richard D Brenner | Anesthesiology | Medstream Anesthesia Pllc | 600 W Ridge Rd, Wytheville, VA 24382-1044 |
Lesley Wilcoxson | Emergency Medicine | Emergency Coverage Corp | 600 W Ridge Rd, Wythe County Comm Hosp, Wytheville, VA 24382-1099 |
Joseph Lee Joyce | Emergency Medicine | Emergency Coverage Corp | 600 W Ridge Rd, Wythe County Comm Hosp, Wytheville, VA 24382-1099 |
John James Dallara | Emergency Medicine | Emergency Coverage Corp | 600 W Ridge Rd, Wythe County Comm Hosp, Wytheville, VA 24382-1099 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Tommi S Malavolti | Chiropractic | Blue Ridge Chiropractic Clinic P.C. | 1135 W Lee Hwy, Wytheville, VA 24382 |
Noah A Malavolti | Chiropractic | Blue Ridge Chiropractic Clinic P.C. | 1135 W Lee Hwy, Wytheville, VA 24382 |
Paul J Roberto | Urology | Wythe County Physician Practices LLC | 600 W Ridge Rd, Wytheville, VA 24382-1044 |
James C Hataway | Certified Registered Nurse Anesthetist (crna) | Medstream Anesthesia Pllc | 600 W Ridge Rd, Wytheville, VA 24382-1044 |
Karl A Ritch | Diagnostic Radiology | Radiology Consultants of Wytheville | 600 W Ridge Rd, Wytheville, VA 24382-1044 |
Norman Paul Morin Ii | Orthopedic Surgery | Wythe County Physician Practices LLC | 600 W Ridge Rd, Wytheville, VA 24382-1044 |
Gwendolyn F Sechrest | Nurse Practitioner | Wythe County Physician Practices LLC | 600 W Ridge Rd, Wytheville, VA 24382-1044 |
Douglas C Bankhead | Anesthesiology | Sheridan Anesthesia Services of Virginia, Inc | 600 W Ridge Rd, Wytheville, VA 24382-1044 |
Ashley Ball | Nurse Practitioner | Healogics Specialty Physicians of Virginia LLC | 590 W Ridge Rd, Suite M, Wytheville, VA 24382-1067 |
Charles Anthony Villoch | Cardiovascular Disease (cardiology) | Wellmont Cardiology Services | 590 W Ridge Rd, Suite D, Wytheville, VA 24382-1067 |
Find all physicians in zip 24382 |
City | WYTHEVILLE |
Zip Code | 24382 |
Specialty | UROLOGY |
City + Specialty | WYTHEVILLE + UROLOGY |
Please comment or provide details below to improve the information on Derek C 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.