MELODYE ANN GARDNER (NPI# 1336211572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336211572 |
| Entity Type | Individual |
| Full Name | MELODYE ANN GARDNER |
| Credential | PA-C |
| Practice Address |
9670 Ranch Road 12 Wimberley TX 78676-5238 |
| Mailing Address |
111 South Laurel Luling TX 78648 |
| Practice Telephone | 5128476789 |
| Practice Fax Number | 5128477968 |
| Mailing Telephone | 8308756399 |
| Mailing Fax Number | 8308756398 |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2017-02-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA05019 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | PA LICENSE | PA05019 | 01 |
| Street Address |
9670 RANCH ROAD 12 |
| City | WIMBERLEY |
| State | TX |
| Zip Code | 78676-5238 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205835071 | Juan Ivan Ramirez | Family Medicine | 9670 Ranch Road 12, Wimberley, TX 78676-5238 | 2005-07-14 |
| 1053464008 | Ivan Ramirez Md Pa | Clinic/Center | 9670 Ranch Road 12, Wimberley, TX 78676-5238 | 2007-01-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053966283 | Symphony of Wimberley, LLC | Assisted Living Facility | 501 Fm 3237, Wimberley, TX 78676 | 2019-08-05 |
| 1730567363 | H-e-b, Lp | Clinical Medical Laboratory | 14501 Ranch Road 12, Wimberley, TX 78676 | 2015-05-15 |
| 1083030795 | Justin Robert Schaack | Dentist | 140 Joe Wimberley Blvd, Wimberley, TX 78676 | 2014-03-06 |
| 1538354345 | Murrel Ann Zbylot | Counselor | 1707 Fm 3237, Wimberley, TX 78676 | 2007-09-14 |
| 1588863757 | Deer Creek of Wimberly Nursing Center | Skilled Nursing Facility | 555 Ranch Rd 3237, Wimberly, TX 78676 | 2007-07-17 |
| 1649485913 | Martha Lyn Ward | Counselor | 282 Old Kyle Road, Wimberly, TX 78676 | 2007-05-11 |
| 1750457271 | Zara Kolb | Social Worker | 444 Deer Lake Estates, Wimberley, TX 78676 | 2006-11-27 |
| 1033212428 | Richard Karl Sears | Counselor | 12111 Ranch Road 12, Ste 117, Wimberley, TX 78676 | 2006-09-07 |
| 1871072397 | Seth Allen Petross | Physical Therapist | 14100 Ranch Road 12 Unit 100, Wimberley, TX 78676 | 2018-08-07 |
| 1265924583 | Stephanie Sanders | Registered Nurse | 14100 Ranch Road 12, Wimberley, TX 78676 | 2018-06-01 |
| Find all providers in zip 78676 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487031225 | Lorraine Lynn Gonzalez | Physician Assistant | 14100 Ranch Road 12, Suite 900, Wimberley, TX 78676-5354 | 2015-04-30 |
| 1366699282 | Kari Lynn Monk | Physician Assistant | 180 Joe Wimberley Blvd, Wimberley, TX 78676-5997 | 2008-08-21 |
| 1700995644 | Scott Allen Coltharp | Physician Assistant | 180 Joe Wimberley Blvd, Suite 102, Wimberley, TX 78676-5997 | 2006-08-30 |
| 1255364964 | Karin Leah Steinau | Physician Assistant | 14100 Ranch Road 12, Suite 900, Wimberley, TX 78676-5354 | 2006-07-08 |
| 1306882691 | Richard Blum | Physician Assistant | 16811 Ranch Road 12, Wimberley, TX 78676-6070 | 2006-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932700440 | Heather Weir | Physician Assistant | 7331 Gaston Ave Ste 180, Dallas, TX 75214-4131 | 2020-11-03 |
| 1366042335 | Mary Elizabeth Arnold | Physician Assistant | 12455 Longmire Lakeview, Conroe, TX 77304-1087 | 2020-10-29 |
| 1396345443 | Avery Rhodes Schwartz | Physician Assistant | 2206 Latexo Dr, Houston, TX 77018-1717 | 2020-10-28 |
| 1174123111 | Stephanie Rae Moench | Physician Assistant | 1704 Enfield Rd Apt 102, Austin, TX 78703-3348 | 2020-10-28 |
| 1811596927 | Emily Lau | Physician Assistant | 3848 N Tarrant Pkwy Ste 120, Fort Worth, TX 76244-5422 | 2020-10-20 |
| 1720686116 | Richard Magana | Physician Assistant | 1651 Ridgemar Dr, Grand Prairie, TX 75051-3340 | 2020-10-16 |
| 1295333532 | Victoria Jane Campbell | Physician Assistant | 4412 Young Dr, Carrollton, TX 75010-1144 | 2020-10-09 |
| 1134726763 | Barbara Elizabeth Montoya | Physician Assistant | 3309 Nottingham Dr, Laredo, TX 78043-1202 | 2020-10-06 |
| 1376140400 | April L Thepsoumane | Physician Assistant | 4808 Hale Dr, Austin, TX 78749-3711 | 2020-10-01 |
| 1881291938 | Christine Nicole Nott | Physician Assistant | 13325 Hargrave Rd # 240, Houston, TX 77070-4539 | 2020-10-01 |
| 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.