DR. MICHAEL GARDNER (NPI# 1336299122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336299122 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL GARDNER |
| Credential | D.O. |
| Practice Address |
633d Air Base Wing, Family Health Clinic 77 Nealy Drive Langley Afb VA 23665 |
| Practice Telephone | 7572257630 |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2018-04-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 0102203325 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 1336299122 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720690548 | Michael Gardner | Dentist | 7127 Winterwood Ln, Highland, CA 92346-5434 | 2020-08-21 |
| 1497266001 | Michael K Gardner | Counselor | 7515 Greenville Ave Ste 1000, Dallas, TX 75231-3852 | 2017-10-23 |
| 1902203011 | Michael Gardner | Non-emergency Medical Transport (VAN) | 15114 Walden Park Ct, Houston, TX 77049-1789 | 2014-12-04 |
| 1619239860 | Michael Gardner | Pharmacist | 1680 E Handel St, Meridian, ID 83646-4708 | 2012-06-13 |
| 1699798371 | Michael Raymond Gardner | Dentist | 1901 6th St Sw, Willmar, MN 56201-5104 | 2006-07-25 |
| 1497773774 | Michael Lee Gardner | Counselor | 4921 Royal Dr, Fort Worth, TX 76116-8827 | 2006-07-17 |
| 1295711109 | Michael J Gardner | Psychologist | 805 N Orange St, Butler, MO 64730 | 2005-12-22 |
| 1508866989 | Michael John Gardner | Chiropractor | 14 W Market St, Tiffin, OH 44883-2720 | 2005-07-28 |
| 1427410117 | Michael Winslow Gardner | Student in an Organized Health Care Education/Training Program | 200 Lothrop Street, S-553 Scaife Hall, Pittsburgh, PA 15213 | 2016-03-22 |
| 1144699075 | Michael Gardner | Physical Therapist | 3903 Northdale Blvd, Suite 111w, Tampa, FL 33624-1864 | 2015-09-22 |
| Street Address |
633D AIR BASE WING, FAMILY HEALTH CLINIC 77 NEALY DRIVE |
| City | LANGLEY AFB |
| State | VA |
| Zip Code | 23665 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982228938 | Mai Stern | Student in an Organized Health Care Education/Training Program | Langley Afb Dental Clinic, Hampton, VA 23665 | 2020-06-05 |
| 1386273449 | Nicholas Thomas Nelson | Military Health Care Provider | 633d Medical Group, 76 Nealy Ave, Building #92, Apo, AA 23665 | 2020-04-02 |
| 1316574809 | Kimberly C Easterling | Student in an Organized Health Care Education/Training Program | 76 Nealy Avenue, Joint Base Langley-eustis, Hampton, VA 23665 | 2020-03-24 |
| 1851950026 | Erin Leigh Baldridge | Dentist | Joint Base Langley Eustis Dental Clinic, 76 Nealy Ave, Apo, AA 23665 | 2019-06-11 |
| 1669950739 | Anthony Interrante IIi | Nurse Practitioner | Usaf Hospital Langley, 77 Nealy Avenue, Hampton, VA 23665 | 2018-08-01 |
| 1588189310 | Stacey Marie Jackson | Psychologist | 11 Nealy Blvd, Hampton, VA 23665 | 2017-08-14 |
| 1285062216 | Michael John Vietti | Physician Assistant | 633 Mdg 77 Nealy Ave, Yorktown, VA 23665 | 2013-10-30 |
| 1396182234 | Micaela Jane Dagucon | General Practice | 633d Mdg/sghc, 77 Nealy Avenue, Joint Base Langley-eustis, VA 23665 | 2013-06-02 |
| 1912212051 | Michele Leigh Shirley | Pharmacist | 633d Medical Group Hospital, 77 Nealy Avenue, Building 257, Joint Base Langley-eustis, VA 23665 | 2010-08-13 |
| 1497915219 | Stephen Warren Porter | Dentist | 76 Nealy Ave, 1st Dental Squadron/sgd, Langley Air Force Base, VA 23665 | 2008-06-16 |
| Find all providers in zip 23665 | ||||
| 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 |
|---|---|---|---|---|
| 1215902283 | Richard B Theis | Family Medicine | 633 Amds/sgpf, 77 Nealy Dr, 2nd Floor, Building 74, Langley Afb, VA 23665 | 2006-02-22 |
| 1386621167 | Wayne Martin Pritt | Family Medicine | 1st Medical Group, 45 Pine Road, Langley Afb, VA 23665-2080 | 2005-12-22 |
| 1932461282 | Clifford Rissler Nolt | Family Medicine | 77 Nealy Ave, Langley Afb, VA 23665 | 2012-06-12 |
| 1700064466 | Anthony Inae | Family Medicine | 77 Nealy Avenue, 1st Medical Group, Langley Afb, VA 23665-2023 | 2008-02-05 |
| 1649233131 | Naomi Sato | Family Medicine | 77 Nealy Ave, 1st Medical Group, Langley Afb, VA 23665-2040 | 2006-04-07 |
| 1689651457 | David C Houglum | Family Medicine | 77 Nealy Ave, 1st Medical Group/cd, Langley Afb, VA 23665-2040 | 2005-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497356554 | Sarah Keaton | Family Medicine | 380 Maple Rd, Callands, VA 24530-2538 | 2020-11-05 |
| 1306443684 | Montage Health and Wellness Corp | Family Medicine | 305 E Market St Ste O, Leesburg, VA 20176-4169 | 2020-10-08 |
| 1770190191 | First Care Collaborative | Family Medicine | 4053 Taylor Rd Ste K, Chesapeake, VA 23321-5526 | 2020-09-29 |
| 1326652900 | Liliana Kim | Family Medicine | 2908 Pepperlin Dr, Virginia Beach, VA 23456-3524 | 2020-09-01 |
| 1609489483 | Thompson Md LLC | Family Medicine | 7906 Andrus Rd Ste 8, Alexandria, VA 22306-3169 | 2020-08-31 |
| 1811509599 | Crystal Dawn Lowder-tibbs | Family Medicine | 1054 Boones Mill Rd, Boones Mill, VA 24065-4318 | 2020-08-23 |
| 1578173837 | Ohio Valley Physicians Inc | Family Medicine | 1520 Slate Creek Rd Ste 201, Grundy, VA 24614-6975 | 2020-08-03 |
| 1346859188 | Cprpm, Pllc | Family Medicine | 113 Cold Branch Rd, Forest, VA 24551-2111 | 2020-07-28 |
| 1134737265 | Joshua Fleming | Family Medicine | 1125 Old Graves Mill Rd Apt 316, Lynchburg, VA 24502-4312 | 2020-07-15 |
| 1457978751 | Donald Arthur Olson | Family Medicine | 1900 Holten Ave E, Big Stone Gap, VA 24273 | 2020-07-02 |
| Find all providers with the same taxonomy | ||||
| City | LANGLEY AFB |
| Zip Code | 23665 |
Please comment or provide details below to improve the information on DR. MICHAEL GARDNER.
| 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.