JEFFREY TODD GARDNER (NPI# 1063588200) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063588200 |
| Entity Type | Individual |
| Full Name | JEFFREY TODD GARDNER |
| Other Name | JEFFREY TODD GARDNER |
| Credential | MD |
| Practice Address |
221 W Fir Ave #101 Clovis CA 93611-0223 |
| Mailing Address |
Po Box 28949 Fresno CA 93729-8949 |
| Practice Telephone | 5592997294 |
| Practice Fax Number | 5592990641 |
| Mailing Telephone | 5592284200 |
| Mailing Fax Number | 5592243920 |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2020-03-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | A 64748 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760771604 | Jeffrey Thomas Gardner | Anesthesiology | 8102e Mcdowell Rd 2a, Scottsdale, AZ 85257-3819 | 2011-03-31 |
| 1407901556 | Jeffrey Steven Gardner | Optometrist | 4864 W Broad St, Columbus, OH 43228-1602 | 2007-01-25 |
| 1184704801 | Jeffrey Jerome Gardner | Dentist | 1065 Johnnie Dodds Blvd, Suite C, Mount Pleasant, SC 29464-6153 | 2006-10-17 |
| 1366901324 | Jeffrey Thomas Gardner II | Student in an Organized Health Care Education/Training Program | 55 Fruit St, Boston, MA 02114 | 2019-03-18 |
| 1497283972 | Jeffrey Patrick Gardner | Counselor | 116 Mechanic St, Bellingham, MA 02019-1678 | 2017-05-30 |
| 1366775835 | Jeffrey W Gardner | Physical Therapist | 4850 E Baseline Rd, Suite 114, Mesa, AZ 85206-4625 | 2009-09-15 |
| 1871772178 | Jeffrey Gardner | Anesthesiology | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2007-11-02 |
| 1841363553 | Jeffrey Louis Gardner | Pediatrics | 200 Madison Ave, 2b, Elmira, NY 14901-3218 | 2006-11-17 |
| Street Address |
221 W FIR AVE #101 |
| City | CLOVIS |
| State | CA |
| Zip Code | 93611-0223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033773122 | Mao Thao | Pharmacist | 2133 Shaw Avenue, Clovis, CA 93611 | 2019-04-24 |
| 1326506098 | Lauren Moriah Horsley | Speech-Language Pathologist | 650 W. Alluvial Ave., Clovis, CA 93611 | 2019-03-12 |
| 1780171223 | Alamos Care | Skilled Nursing Facility | 2193 Alamos Ave, Clovis, CA 93611 | 2018-04-19 |
| 1346612215 | Aimee Rasch | Occupational Therapy Assistant | 650 West Alluvial Avenue, Clovis, CA 93611 | 2015-10-30 |
| 1356778302 | Jonathan Crosby | Physician Assistant | 729 N Medical Center Drive West Suite 101, Clovis, CA 93611 | 2013-10-07 |
| 1093142697 | Stacey Melissa Montes | Nurse Practitioner | 729 N Medical Ctr Dr West, Suite 205, Clovis, CA 93611 | 2013-09-27 |
| 1538594163 | Carly Bren Lepp | Physician Assistant | 2006 Shaw Avenue, Clovis, CA 93611 | 2013-09-13 |
| 1811246150 | Vishal Arya | Pharmacist | 2518 Austin Ave, Clovis, CA 93611 | 2012-08-31 |
| 1669757209 | Kiran V Atwal | Pharmacist | 1815 Herndon Ave--walgreens, Clovis, CA 93611 | 2011-10-14 |
| 1952615957 | Weight Away | Nutritionist | 1895 Herndon Ave, Suite 105, Clovis, CA 93611 | 2010-08-02 |
| Find all providers in zip 93611 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225660871 | Mercy Seyi Ayodele | Family Medicine | 55 Shaw Ave Ste 207, Clovis, CA 93612-3819 | 2020-02-11 |
| 1932671005 | Jennifer Lynn Marmolejo | Family Medicine | 2552 Richert Ave, Clovis, CA 93611-6014 | 2018-12-29 |
| 1396210563 | Green Sports Medicine Inc | Family Medicine | 2021 Herndon Ave Ste 201, Clovis, CA 93611-6101 | 2018-10-03 |
| 1023429412 | Nadia Javaid | Family Medicine | 2006 Shaw Ave Ste 101, Clovis, CA 93611-4192 | 2014-05-19 |
| 1821371022 | Erick Joseph Green Jr. | Family Medicine | 2021 Herndon Ave # 101, Clovis, CA 93611-6101 | 2011-09-23 |
| 1760667133 | Larry Lowry | Family Medicine | 208 Sandzen Dr, Clovis, NM 88101-2310 | 2008-01-04 |
| 1265620728 | Gurdaver Singh Dhaliwal | Family Medicine | 1555 Shaw Ave, Ste 101, Clovis, CA 93611-4096 | 2007-10-10 |
| 1225250087 | G&j Roth Prof Corp. | Family Medicine | 255 W Bullard Ave Ste 102, Clovis, CA 93612-0861 | 2007-05-02 |
| 1023231057 | Meenakshi Dhingra | Family Medicine | 2740 Herndon Ave, Clovis, CA 93611-6813 | 2007-04-10 |
| 1588789788 | Anthony W Montana | Family Medicine | 688 Medical Center Dr E Ste 104, Clovis, CA 93611-6807 | 2007-03-20 |
| Find all providers in CLOVIS | ||||
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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.