MICHAEL GARTNER (NPI# 1487643110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487643110 |
| Entity Type | Individual |
| Full Name | MICHAEL GARTNER |
| Credential | PA-C |
| Practice Address |
200 Nw 7th Ave Phoenix Emergency Medicine of Broward, LLC Fort Lauderdale FL 33311-9026 |
| Mailing Address |
1403 Tiburon Ct Riviera Beach FL 33404-1800 |
| Practice Telephone | 9547596793 |
| Enumeration Date | 2005-10-15 |
| Last Update Date | 2008-05-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA9101158 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | MEDICARE CORE | E6648 | 01 |
| FL | 292108100 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780619171 | Michael Constantin Gartner | Plastic Surgery | 3 Winslow Pl, Paramus, NJ 07652-2709 | 2006-07-12 |
| 1205835469 | Michael R Gartner | Emergency Medicine | Mayo Clinic Health System, 1025, Mankato, MN 56001-5600 | 2005-07-20 |
| Street Address |
200 NW 7TH AVE PHOENIX EMERGENCY MEDICINE OF BROWARD, LLC |
| City | FORT LAUDERDALE |
| State | FL |
| Zip Code | 33311-9026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518491109 | Megan Ashlee Natalie | Nurse Practitioner | 200 Nw 7th Ave, Fort Lauderdale, FL 33311-9026 | 2017-04-20 |
| 1386014843 | Nicole Aiello-luong | Dental Hygienist | 200 Nw 7th Ave, Fort Lauderdale, FL 33311-9026 | 2015-09-28 |
| 1528455300 | Nadia Melba Alethia Cumberbatch | Family Medicine | 200 Nw 7th Ave, Fort Lauderdale, FL 33311-9026 | 2015-04-20 |
| 1700272382 | Kristen Ashley Smith | Family Medicine | 200 Nw 7th Ave, Fort Lauderdale, FL 33311-9026 | 2015-04-10 |
| 1861899346 | North Broward Hospital District | Obstetrics & Gynecology | 200 Nw 7th Ave, Fort Lauderdale, FL 33311-9026 | 2014-11-26 |
| 1699175018 | Elisa Epstein | Dietitian, Registered | 200 Nw 7th Ave, Third Floor, Fort Lauderdale, FL 33311-9026 | 2014-09-04 |
| 1073856589 | North Browardhospital District | Clinic/Center | 200 Nw 7th Ave, Fort Lauderdale, FL 33311 | 2013-04-03 |
| 1699047324 | North Broward Hospital District | Social Worker | 200 Nw 7th Ave, Fort Lauderdale, FL 33311-9026 | 2012-01-26 |
| 1821144973 | Alla Dudelzak | Pediatrics | 200 Nw 7th Ave, Fort Lauderdale, FL 33311-9026 | 2007-01-25 |
| 1811925886 | North Broward Hospital District | Dentist | 200 Nw 7th Ave, Fort Lauderdale, FL 33311 | 2006-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699390336 | Rosenie B Jasmin | Family Medicine | Dove Medical Centers, LLC, 2901 West Oakland Park Blvd Ste A4-5, Oakland Park, FL 33311 | 2020-06-09 |
| 1942769534 | Cbd Skeletal Solutions, LLC | Durable Medical Equipment & Medical Supplies | 630 Tennis Club Drive, Outerbridge - 407, Ft. Lauderdale, FL 33311 | 2019-03-14 |
| 1770049116 | Jordan Matthew Nodelman | Social Worker | 871 W Oakland Park Boulevard, Oakland Park, FL 33311 | 2019-02-11 |
| 1417422304 | Carebridge Home Health of Flrorida | Home Health | 1871 West Oakland Park Blvd, Suite E, Oakland Park, FL 33311 | 2018-10-08 |
| 1992287130 | Michael Ray Johnson | Counselor | 900 Nw 31 Ave, Suite #2000, Ft Laud, FL 33311 | 2018-09-04 |
| 1477047058 | Latino Medical Center IIi | General Practice | 3670 W Oakland Blvd, Lauderdale Lakes, FL 33311 | 2018-06-18 |
| 1316442049 | Anita Fox | Non-emergency Medical Transport (VAN) | 2880 West Oakland Park Blvd, 234, Oakland Park, FL 33311 | 2018-03-26 |
| 1669995957 | Lola J Lewis-walker | Nurse Practitioner | 925 Nw 14th St, Fort Lauderdale, FL 33311 | 2017-07-19 |
| 1598294936 | Abigail D Garcia | Counselor | 713 Nw 1st Ave, Fort Lauderdale, FL 33311 | 2017-06-08 |
| 1548712524 | Hubert Faustin | Counselor | 1409 Nw 1st Avenue, Fort Lauderdale, FL 33311 | 2016-10-26 |
| Find all providers in zip 33311 | ||||
| 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 |
|---|---|---|---|---|
| 1124654538 | Joanna Gasdogas | Physician Assistant | 6451 N Federal Hwy Ste 700, Fort Lauderdale, FL 33308-1420 | 2020-03-17 |
| 1487299178 | Johanne Louis | Physician Assistant | 730 Nw 19th St Apt West, Fort Lauderdale, FL 33311-4006 | 2019-11-17 |
| 1013551266 | Tito Velasquez | Physician Assistant | 1160 N Federal Hwy Apt 1023, Fort Lauderdale, FL 33304-1436 | 2019-10-31 |
| 1275001406 | Michael Louis Alexander Jr. | Physician Assistant | 1940 Ne 47th St Ste 1, Fort Lauderdale, FL 33308-7711 | 2018-11-06 |
| 1972088706 | Kayla Lynn Ventura | Physician Assistant | 4801 N Federal Hwy Ste 101, Fort Lauderdale, FL 33308-4618 | 2018-09-27 |
| 1528557394 | Allied Health Provider LLC | Physician Assistant | 1625 Ne 3rd Ct, Fort Lauderdale, FL 33301-3808 | 2018-05-07 |
| 1396246005 | Marissa Amina Kazim | Physician Assistant | 3465 Galt Ocean Dr Ste 101, Fort Lauderdale, FL 33308-7077 | 2018-02-27 |
| 1306356886 | Jennifer Ashley Alexander | Physician Assistant | 4701 N Federal Hwy Ste A39, Fort Lauderdale, FL 33308-4608 | 2017-10-10 |
| 1366842585 | Hannah Silverman | Physician Assistant | 4800 Ne 20th Ter Ste 115, Fort Lauderdale, FL 33308-4510 | 2014-08-25 |
| 1811240518 | Angela Kakaley Hall | Physician Assistant | 900 Ne 26th Ave, Fort Lauderdale, FL 33304-3607 | 2012-10-18 |
| Find all providers in FORT LAUDERDALE | ||||
| City | FORT LAUDERDALE |
| Zip Code | 33311 |
Please comment or provide details below to improve the information on MICHAEL GARTNER.
| 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.