RAYMOND J GARDOCKI (NPI# 1235125931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235125931 |
| Entity Type | Individual |
| Full Name | RAYMOND J GARDOCKI |
| Credential | M.D. |
| Practice Address |
3601 The Vanderbilt Clinic Nashville TN 37232-2205 |
| Mailing Address |
719 Thompson Ln Ste 30330 Nashville TN 37204-4701 |
| Practice Telephone | 6159362000 |
| Enumeration Date | 2005-09-27 |
| Last Update Date | 2020-10-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
38132 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 09122578 | 05 | |
| TN | Q016960 | 05 | |
| AR | 165839001 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1458 W Poplar Ave Ste 100, Collierville, TN 380170630 | 9017593100 | |
| 8000 Centerview Pkwy Ste 500, Cordova, TN 380184254 | 9017593100 | |
| 1211 Union Ave Ste 500, Memphis, TN 381046656 | 9017593100 | |
| 7545 Airways Blvd, Southaven, MS 386715806 | 9017593100 | |
| 1400 S Germantown Rd, Germantown, TN 381382205 | 9017593100 |
| Street Address |
3601 THE VANDERBILT CLINIC |
| City | NASHVILLE |
| State | TN |
| Zip Code | 37232-2205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134122310 | Gary T Smith | Radiology | 3601 The Vanderbilt Clinic, Nashville, TN 37232-2637 | 2005-05-23 |
| 1649879396 | Tiffany Marie Spetz | Nurse Practitioner | 3601 The Vanderbilt Clinic, Nashville, TN 37232-0004 | 2020-10-23 |
| 1902403017 | Danielle Farideh Guy | Nurse Practitioner | 3601 The Vanderbilt Clinic, Nashville, TN 37232-0004 | 2020-10-02 |
| 1497362297 | Madison Miller | Nurse Practitioner | 3601 The Vanderbilt Clinic, Nashville, TN 37232-0001 | 2020-09-25 |
| 1528675584 | Sara Catherine Brooks | Registered Nurse | 3601 The Vanderbilt Clinic, Nashville, TN 37232-5050 | 2020-09-24 |
| 1790391076 | Margaret Eileen Schneider | Nurse Anesthetist, Certified Registered | 3601 The Vanderbilt Clinic, Nashville, TN 37232-0004 | 2020-09-22 |
| 1659987451 | Delaney Jane Boyce | Registered Nurse | 3601 The Vanderbilt Clinic, Nashville, TN 37232-0004 | 2020-09-17 |
| 1891301636 | Alicia Mattachione | Occupational Therapist | 3601 The Vanderbilt Clinic, Nashville, TN 37232-4689 | 2020-09-17 |
| 1093321861 | Bettye Anne Woodard | Registered Nurse | 3601 The Vanderbilt Clinic, Nashville, TN 37232-0011 | 2020-09-17 |
| 1801400858 | Samantha Rivers Green | Nurse Practitioner | 3601 The Vanderbilt Clinic, Nashville, TN 37232-0001 | 2020-09-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831717578 | Kathleen Elizabeth Quick | Audiologist | 1215 21st Avenue South, Mce, South Tower, 9th Floor, Nashville, TN 37232 | 2020-07-09 |
| 1609497700 | Alissar El Chediak | Student in an Organized Health Care Education/Training Program | 1161 21st Ave South, Mcn S3307, Division of Nephrology, Nashville, TN 37232 | 2020-04-29 |
| 1386209690 | David William John Armstrong | Student in an Organized Health Care Education/Training Program | 1215 21st Ave S 5th Floor, Nashville, TN 37232 | 2019-05-02 |
| 1063075331 | Margaret Elizabeth Galloway | Student in an Organized Health Care Education/Training Program | Vanderbilt Univ. Medical Center 2301 Vuh, Office of Educational Affairs, Dept. of Anesthesiol, Nashville, TN 37232 | 2019-04-22 |
| 1457832420 | Jill Murphree | Dietitian, Registered | 1211 21st Avenue, Medical Arts Building Ste 514, Nashville, TN 37232 | 2018-08-27 |
| 1861980757 | Ryan Chaliff | Student in an Organized Health Care Education/Training Program | Department of Oral & Maxillofacial Surgery, T-4323a Medical Center North 1161 21st Avenue South, Nashville, TN 37232 | 2018-04-25 |
| 1023505385 | Nelly-ange Kontchou | Student in an Organized Health Care Education/Training Program | 1161 21st Avenue South, Medical Center N, Suite Ccc-4312, Nashville, TN 37232 | 2018-04-21 |
| 1396232377 | Katie Lee Ford | Student in an Organized Health Care Education/Training Program | 2200 Children's Way, 8161 Dot, Nashville, TN 37232 | 2018-04-16 |
| 1073015814 | Nicole Sapone Mandrycky | Nurse Practitioner | 1161 21st Ave. S, Mcn D2106, Nashville, TN 37232 | 2018-03-07 |
| 1992220982 | Alanna Salituro | Physical Therapist | 1215 21st Ave. S., Medical Center East, South Tower, Voi, Nashville, NJ 37232 | 2017-08-10 |
| Find all providers in zip 37232 | ||||
| Taxonomy Code | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770091654 | Coordinated Health Network of Tennessee, LLC | Orthopaedic Surgery | 315 Deaderick St Ste 1550a, Nashville, TN 37238-3000 | 2018-01-13 |
| 1497263370 | Optimal Health of Tn, LLC | Orthopaedic Surgery | 315 Deaderick St Ste 1550b, Nashville, TN 37238-3000 | 2018-01-13 |
| 1326671629 | Darkhorse Orthopedics Inc | Orthopaedic Surgery | 1010 4th Ave N, Nashville, TN 37219-1110 | 2020-02-15 |
| 1518420272 | Stn Care of Tn II, LLC | Orthopaedic Surgery | 315 Deaderick St Ste 1550b, Nashville, TN 37238-3000 | 2019-04-10 |
| 1881157543 | Stn Care of Tn, LLC | Orthopaedic Surgery | 315 Deaderick St Ste 1550b, Nashville, TN 37238-3000 | 2019-04-10 |
| 1952869133 | Ortho Spine | Orthopaedic Surgery | 3320 Perimeter Hill Dr, Nashville, TN 37211-4123 | 2019-03-07 |
| 1730405101 | Amir M Abtahi | Orthopaedic Surgery | 3601 The Vanderbilt Clinic, Nashville, TN 37232-5100 | 2010-04-10 |
| 1578523809 | Christopher Phillip Kauffman | Orthopaedic Surgery | 394 Harding Pl, Suite 200, Nashville, TN 37211-3982 | 2006-03-23 |
| 1730156720 | Morgan P Lorio | Orthopaedic Surgery | 2400 Patterson St, Ste 300, Nashville, TN 37203-1562 | 2006-03-08 |
| 1922099340 | Melvin D Law Jr. | Orthopaedic Surgery | 2400 Patterson Street, Suite 300, Nashville, TN 37203 | 2005-11-03 |
| Find all providers in NASHVILLE | ||||
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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.