MR. DAVID ALLEN GARDNER JR. (NPI# 1427537604) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427537604 |
| Entity Type | Individual |
| Full Name | MR. DAVID ALLEN GARDNER JR. |
| Practice Address |
593 Eddy Street Apc Main Providence RI 02903 |
| Mailing Address |
117 Ellenfield St Ste 101 Providence RI 02905-4513 |
| Practice Telephone | 4014445435 |
| Practice Fax Number | 4014448301 |
| Mailing Telephone | 4014446779 |
| Mailing Fax Number | 4014446912 |
| Enumeration Date | 2018-08-09 |
| Last Update Date | 2018-09-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
APRN01860 | RI | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
APRN01860 | RI | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
APRN01860 | RI | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 164 Summit Avenue, Fain Building, Providence, RI 02906 | 4017932920 | 4017932859 |
| 11 Friendship Street, Turner Building, 5th Floor, Newport, RI 02840 | 4018451998 | 4018486510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376716183 | David Sean Gardner | Dentist | 1028 S Garfield Ave, Alhambra, CA 91801-4762 | 2008-04-12 |
| 1326114067 | David Michael Gardner | Dentist | 125 Mineola Ave, Suite 304, Roslyn Heights, NY 11577 | 2006-11-27 |
| 1477514370 | David A Gardner | Podiatrist | 1441 South Midlothian Pkwy, Ste 120, Midlothian, TX 76065-5592 | 2006-03-30 |
| 1811965916 | David G Gardner | Podiatrist | 3101 Kilpatrick Blvd, Monroe, LA 71201-5157 | 2006-03-14 |
| 1770569535 | David Douglas Gardner | Dentist | 2 South Main St, Andover, NY 14806 | 2005-12-22 |
| 1205832771 | David Gardner | Technician/Technologist | 306 13th St, Franklin, PA 16323-1335 | 2005-06-21 |
| 1326558123 | David Gardner | Pharmacist | 609 N Main St, Southington, CT 06489-2051 | 2017-10-06 |
| 1891243705 | David Gardner | Pharmacist | 6495 Country Club Rd, Murphysboro, IL 62966-5202 | 2016-09-20 |
| 1831643782 | David Gardner | Pharmacist | 45 St Lawrence Dr, Tiffin, OH 44883-8310 | 2016-08-09 |
| 1750756722 | David Gardner | Pharmacist | 3929 N Mulford Rd, Rockford, IL 61114-5600 | 2015-12-02 |
| Street Address |
593 EDDY STREET APC MAIN |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528065430 | Sandra M Jamieson | Physician Assistant | 593 Eddy Street, Grad Dorms, Providence, RI 02903 | 2005-07-07 |
| 1447810742 | Lucasjorge Santana De Castro Alves | Internal Medicine | 593 Eddy Street, Rhode Island Hospital, Providence, RI 02903 | 2019-06-18 |
| 1659935070 | Janine Pedersen | Nurse Practitioner | 593 Eddy Street, Apc Main, Providence, RI 02903 | 2019-05-01 |
| 1851853972 | Clarence Chow | Anesthesiology | 593 Eddy Street, Davol 129, Providence, RI 02903 | 2019-04-06 |
| 1083183743 | Alexa Siminsky | Dietitian, Registered | 593 Eddy Street, Providence, RI 02903-1888 | 2018-11-24 |
| 1134696396 | Danielle Mary White | Physician Assistant | 593 Eddy Street, Apc 4, Providence, RI 02903 | 2018-10-25 |
| 1669948659 | Meghan Keady | Nurse Practitioner | 593 Eddy Street, Providence, RI 02903 | 2018-10-17 |
| 1568943538 | Molly Meth | Psychologist | 593 Eddy Street, Potter 1, Providence, RI 02903 | 2018-08-27 |
| 1437639168 | Priscilla D Ventura-medeiros | Nurse Practitioner | 593 Eddy Street, Jane Brown, 2 South, Providence, RI 02903-4923 | 2018-08-21 |
| 1316424229 | Lauren Reeves | Psychologist | 593 Eddy Street, Potter Building, Providence, RI 02903 | 2018-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475755 | Sarah Fellows | Student in an Organized Health Care Education/Training Program | 350 Eddy Street, Uri Nursing Education Center, Providence, RI 02903 | 2020-10-20 |
| 1093328262 | Esther Robbins | Social Worker | 290 West Exchange St., Suite 100, Providence, RI 02903 | 2020-08-27 |
| 1720619489 | Ivy Marie Mcdonald | Behavioral Analyst | 290 W Exchange St #101, Providence, RI 02903 | 2020-01-31 |
| 1447802707 | Natalie Monaghan, LLC | Social Worker | 545 South Water Street, Providence, RI 02903 | 2019-07-16 |
| 1760049522 | Daniel Steven Alanko | Pediatrics | 293 Eddy Street, Providence, RI 02903 | 2019-05-28 |
| 1154894368 | Margaret Emily Dyson | Behavior Technician | 290 W. Exchange St, Providence, RI 02903 | 2019-01-10 |
| 1497235014 | Yao Zhou Liu | Surgery | 593 Eddy St - Rhode Island Hospital, Providence, RI 02903 | 2018-08-14 |
| 1558840645 | Tamara Gore | Behavior Technician | 290 W Exchange Street Suite 101, Providence, RI 02903 | 2018-08-09 |
| 1437642709 | Adrian Cotarelo | Student in an Organized Health Care Education/Training Program | 174 Wickenden St, Apt. 3rd Floor, Providence, RI 02903 | 2018-06-12 |
| 1356833024 | Natalie Rita Noonan | Clinical Neuropsychologist | 593 Eddy St Ste 430, Providence, RI 02903 | 2018-05-30 |
| Find all providers in zip 02903 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699339721 | Melissa Cardona | Nurse Practitioner | 164 Summit Ave Fl 2, Providence, RI 02906-2853 | 2019-04-24 |
| 1811499668 | Allison Rosener Ford | Nurse Practitioner | Neuro-critical Care, 593 Eddy Street, Providence, RI 02903-4923 | 2018-03-07 |
| 1134657505 | Emily Daniell | Nurse Practitioner | 830 Chalkstone Ave Fl 3e, Providence, RI 02908-4734 | 2017-05-31 |
| 1477098069 | Beth Perry | Nurse Practitioner | 830 Chalstone Ave., Providence, RI 02908 | 2017-01-05 |
| 1477931913 | Linda Otway Colvin | Nurse Practitioner | 16 Woodland Ter, Providence, RI 02906-5807 | 2015-05-17 |
| 1184031973 | Anne Goldstein Silbert | Nurse Practitioner | 2 Dudley St Ste 360, Providence, RI 02905-3248 | 2014-07-14 |
| 1780299594 | Bonnie Ann Blaney | Nurse Practitioner | 235 Plain St, Providence, RI 02905-3240 | 2020-09-09 |
| 1083255509 | Beth Dufour | Nurse Practitioner | 593 Eddy St, Providence, RI 02903-4923 | 2019-10-06 |
| 1831743095 | Tracy Lynn Carraggi | Nurse Practitioner | 164 Summit Ave, Providence, RI 02906-2853 | 2019-07-26 |
| 1780248922 | Audrey Ross | Nurse Practitioner | 593 Eddy St, Providence, RI 02903-4923 | 2019-04-23 |
| Find all providers in PROVIDENCE | ||||
| City | PROVIDENCE |
| Zip Code | 02903 |
Please comment or provide details below to improve the information on MR. DAVID ALLEN GARDNER JR..
| 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.