Michael P Gardner (NPI# 1215993845, PAC ID# 5193807402) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
| Nation Provider ID (NPI) | 1215993845 |
| PAC ID by PECOS | 5193807402 |
| Professional Enrollment ID | I20080125000216 |
| Full Name | Michael P Gardner |
| Address |
19300 Sw 65th Ave Tualatin OR 97062-7706 |
| Gender | M |
| Medical School | OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1995 |
| Primary Specialty | UROLOGY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 380089 | LEGACY MERIDIAN PARK MEDICAL CENTER |
| 380038 | PROVIDENCE WILLAMETTE FALLS MEDICAL CENTER |
| 380061 | PROVIDENCE PORTLAND MEDICAL CENTER |
| 380029 | LEGACY SILVERTON MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 19300 Sw 65th Ave, Tualatin, OR 97062-7706 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 27% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 28% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 9% | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 0% | |
| ACI_EC_TRANS_SM_1 | Secure Messaging | 20% | |
| MIPS_EC_047_overall | Care Plan | 2% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% |
| Street Address |
19300 SW 65TH AVE |
| City | TUALATIN |
| State | OR |
| Zip | 97062-7706 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patricia Funk | Internal Medicine | Legacy Clinics LLC | 19300 Sw 65th Ave, Meridian Park Hosp, Portland, OR 97062-7706 |
| Tara L Eagle | Critical Care (intensivists) | Legacy Clinics LLC | 19300 Sw 65th Ave, Meridian Park Hosp, Portland, OR 97062-7706 |
| Laura L Gaff | Family Medicine | Legacy Meridian Park Hospital | 19300 Sw 65th Ave, Tualatin, OR 97062-7706 |
| Dean K Peterson | Internal Medicine | Legacy Clinics LLC | 19300 Sw 65th Ave, Meridian Park Hosp, Portland, OR 97062-7706 |
| Paul R Ash | Neurology | Legacy Clinics LLC | 19300 Sw 65th Ave, Meridian Park Hosp, Portland, OR 97062-7706 |
| Michael J Zalanka | Psychiatry | Legacy Clinics LLC | 19300 Sw 65th Ave, Meridian Park Hosp, Portland, OR 97062-7706 |
| Bryan Putnam | Anesthesiology | Oregon Anesthesiology Group PC | 19300 Sw 65th Ave, Tualatin, OR 97062-7706 |
| Vandy L Sherbin | Pulmonary Disease | Legacy Clinics LLC | 19300 Sw 65th Ave, Meridian Park Hosp, Portland, OR 97062-7706 |
| Paul R Cieslak | Infectious Disease | Legacy Clinics LLC | 19300 Sw 65th Ave, Meridian Park Hosp, Portland, OR 97062-7706 |
| Srividya Venigalla | Internal Medicine | Legacy Meridian Park Hospital | 19300 Sw 65th Ave, Tualatin, OR 97062-7706 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kevin Wung Hong Yee | Hematology/oncology | University Professional Services | 19260 Sw 65th Ave, Suite 140, Tualatin, OR 97062-5703 |
| Lisa M Cowan | Physician Assistant | Pacific Spine Specialists, LLC | 19260 Sw 65th Ave, Suite 270, Tualatin, OR 97062-5705 |
| Darin J Steblaj | Physician Assistant | Pacific Spine Specialists, LLC | 19260 Sw 65th Ave, Suite 270, Tualatin, OR 97062-5705 |
| Timothy L Keenen | Orthopedic Surgery | Pacific Spine Specialists, LLC | 19260 Sw 65th Ave, Suite 270, Tualatin, OR 97062-5705 |
| Nicole Celeste Foster | Physician Assistant | Legacy Clinics LLC | 19260 Sw 65th Ave, Suite 280, Tualatin, OR 97062-5708 |
| Ruchi J Wanchoo | Neurology | Legacy Clinics LLC | 19260 Sw 65th Ave, Suite 280, Tualatin, OR 97062-5708 |
| Charlotte A Haws | Physician Assistant | Legacy Clinics LLC | 19260 Sw 65th Ave, Suite 400, Tualatin, OR 97062-5712 |
| Arielle E Radelet | Physician Assistant | Legacy Clinics LLC | 19260 Sw 65th Ave, Suite 400, Tualatin, OR 97062-5712 |
| Dale G Campbell | Clinical Social Worker | 22100 Sw Grahams Ferry Rd, Tualatin, OR 97062-6993 | |
| Clayton Michael Smiley | Nephrology | Northwest Renal Clinic Inc | 8050 Sw Warm Springs St, Suite 150, Tualatin, OR 97062-7422 |
| Find all physicians in zip 97062 | |||
| City | TUALATIN |
| Zip Code | 97062 |
| Specialty | UROLOGY |
| City + Specialty | TUALATIN + UROLOGY |
Please comment or provide details below to improve the information on Michael P 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.