DR. GERALDINE GARDNER (NPI# 1033101696) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033101696 |
| Entity Type | Individual |
| Full Name | DR. GERALDINE GARDNER |
| Credential | D.O. |
| Practice Address |
900 Sunset Dr La Grande OR 97850-1387 |
| Mailing Address |
Po Box 3290 La Grande OR 97850-7290 |
| Practice Telephone | 5419632328 |
| Practice Fax Number | 5419755210 |
| Mailing Telephone | 5419632328 |
| Mailing Fax Number | 5419755210 |
| Enumeration Date | 2005-08-19 |
| Last Update Date | 2020-08-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
DO194314 | OR | Allopathic & Osteopathic Physicians |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
OP60308505 | WA | Allopathic & Osteopathic Physicians |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
7383A | WY | Allopathic & Osteopathic Physicians |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
20A6134 | CA | Allopathic & Osteopathic Physicians |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
822 | NV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 500769777 | 05 | |
| WY | 123264900 | 05 | |
| NV | 2016356 | 05 |
| Street Address |
900 SUNSET DR |
| City | LA GRANDE |
| State | OR |
| Zip Code | 97850-1387 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194325357 | Jacob K. Mcginnis | Student in an Organized Health Care Education/Training Program | 900 Sunset Dr, La Grande, OR 97850-1387 | 2020-10-27 |
| 1861029159 | Robert Paul Shanks | Nurse Practitioner | 900 Sunset Dr, La Grande, OR 97850-1387 | 2020-03-25 |
| 1598228363 | Hannah Grace Robinson | Dietitian, Registered | 900 Sunset Dr, La Grande, OR 97850-1387 | 2019-04-09 |
| 1225590011 | Emily Whitesides | Physical Therapist | 900 Sunset Dr, La Grande, OR 97850-1387 | 2019-04-02 |
| 1629530431 | Marci Brianne Clarke | Occupational Therapist | 900 Sunset Dr, La Grande, OR 97850-1387 | 2019-04-01 |
| 1154885689 | Korreene Ann Dubray | Nurse Practitioner | 900 Sunset Dr, La Grande, OR 97850-1387 | 2019-01-29 |
| 1467974618 | Jared Johnathan Hulme | Nurse Practitioner | 900 Sunset Dr, La Grande, OR 97850-1387 | 2017-07-10 |
| 1891223848 | Roxanna Stephens | Registered Nurse | 900 Sunset Dr, La Grande, OR 97850-1387 | 2017-06-02 |
| 1376071357 | David Burt Ingram | Emergency Medicine | 900 Sunset Dr, La Grande, OR 97850-1387 | 2017-06-02 |
| 1942735097 | Hannah Hatley | Pharmacist | 900 Sunset Dr, La Grande, OR 97850-1387 | 2017-04-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336749621 | Praxis Medical Group P.C. | Clinic/Center | 2011 Fourth St., La Grande, OR 97850 | 2020-10-27 |
| 1730794637 | Praxis Medical Group Inc | Clinic/Center | 2011 4th Street, La Grande, OR 97850 | 2020-09-09 |
| 1154956233 | Ellen Faye Barlow | Nurse Practitioner | 506 Fourth St., La Grande, OR 97850 | 2020-03-09 |
| 1811479991 | Kyle Jacob Roxby | Pharmacist | 2122 Island Avenue, #201, La Grande, OR 97850 | 2018-09-05 |
| 1093296519 | Grande Ronde Hospital, Inc. | Clinic/Center | 10303 S Walton Rd, La Grande, OR 97850 | 2018-08-23 |
| 1073050795 | Dana Marie Gaerke | Occupational Therapist | Parkway Therapies: La Grande Health and Rehab, 91 Aires Lane, La Grande, OR 97850 | 2017-01-20 |
| 1114393998 | Rachel Marie Gazeley | Dental Hygienist | 1507 4th Street, La Grande, OR 97850 | 2015-08-17 |
| 1104227297 | Sarah Blackwood | Pharmacist | 2212 Island Ave, La Grande, OR 97850 | 2014-09-09 |
| 1669890158 | Jean Mckern | Counselor | 902-a Sixth Street, La Grande, OR 97850 | 2014-04-01 |
| 1629333976 | Robert Caleb Mcilmoil | Physical Therapist | 570 8th Street, Eligin, OR 97850 | 2012-07-11 |
| Find all providers in zip 97850 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114123684 | Emilia Arden | Internal Medicine | 506 4th St, La Grande, OR 97850-1906 | 2007-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982969820 | Samaritan Pacific Health Services, Inc. | Internal Medicine | 1010 Sw Coast Hwy Ste 101, Newport, OR 97365-5239 | 2012-07-06 |
| 1922362243 | Albany General Hospital | Internal Medicine | 631 Elm St Sw Ste 201, Albany, OR 97321-1952 | 2012-07-02 |
| 1962769679 | Hiro Kawata | Internal Medicine | 3311 Rierbend Dr., Springfield, OR 97477 | 2012-04-19 |
| 1225309685 | Patrick Bergin | Internal Medicine | 1794 Sweetbriar Ln, Eugene, OR 97405-4457 | 2012-01-17 |
| 1154646610 | Theodore Allen Foster IIi | Internal Medicine | 1003 Providence Dr Ste 325, Newberg, OR 97132-7521 | 2010-03-28 |
| 1164755534 | Richard E. Romm M.d., LLC | Internal Medicine | 2082 Dogwood Dr, Eugene, OR 97405-7007 | 2009-09-16 |
| 1568699932 | Arjun K. Chagarlamudi | Internal Medicine | 777 Commercial St. Se, Suite 130, Salem, OR 97301 | 2009-06-12 |
| 1518103274 | Centennial Medical Group Inc. | Internal Medicine | 201 Nw Medical Loop Ste 190, Roseburg, OR 97471-8835 | 2008-12-31 |
| 1124281423 | Jane Tuyet Luu | Internal Medicine | 2222 Nw Lovejoy St Ste 606, Portland, OR 97210-5104 | 2008-07-07 |
| 1811192792 | Med Info Services, LLC | Internal Medicine | 348 S Pine St, Carlton, OR 97111-1228 | 2007-06-19 |
| Find all providers with the same taxonomy | ||||
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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.