MICHAEL SCOTT GARDNER (NPI# 1578590550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578590550 |
| Entity Type | Individual |
| Full Name | MICHAEL SCOTT GARDNER |
| Credential | DO |
| Practice Address |
603 Smithview Dr Maryville TN 37803-6100 |
| Mailing Address |
1275 Dick Lonas Rd Knoxville TN 37909-1382 |
| Practice Telephone | 8659830082 |
| Practice Fax Number | 8659771171 |
| Mailing Telephone | 8655844747 |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2020-01-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 1652 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | RR MEDICARE PIN | P00251643 | 01 |
| TN | 3331497 | 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 |
| 1336299122 | Michael Gardner | Family Medicine | 633d Air Base Wing, Family Health Clinic, 77 Nealy Drive, Langley Afb, VA 23665 | 2007-01-12 |
| 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 |
| Street Address |
603 SMITHVIEW DR |
| City | MARYVILLE |
| State | TN |
| Zip Code | 37803-6100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073500823 | Laurel B Cook I | Podiatrist | 603 Smithview Dr, Maryville, TN 37803-6100 | 2005-10-05 |
| 1417318346 | Heather Romans | Nurse Practitioner | 603 Smithview Dr, Maryville, TN 37803-6100 | 2016-03-20 |
| 1336228618 | Summit Medical Group, Pllc | Internal Medicine | 603 Smithview Dr, Maryville, TN 37803-6100 | 2006-11-06 |
| 1255376083 | East Tennessee Foot Clinic PC | Podiatrist | 603 Smithview Dr, Maryville, TN 37803-6100 | 2006-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669964672 | Mary Kathleen Gravatt | Physical Therapy Assistant | 1750 Linda Ln, Maryville, TN 37803 | 2018-06-05 |
| 1235350828 | Thomas Robert Schlitt | Physical Therapist | 833 Lawrence Avenue, Maryville, TN 37803 | 2007-05-01 |
| 1437278769 | Selena Lynette Reed | Dietitian, Registered | 1759 Old Niles Ferry Rd, Maryville, TN 37803 | 2007-03-28 |
| 1386775641 | Mary W Tucker | Nurse Practitioner | 116 Chantilly Lane, Maryville, TN 37803 | 2007-03-08 |
| 1518098045 | Wal-mart Stores East, L.p. | Technician/Technologist | 2410 Us Hwy 411 South, Maryville, TN 37803 | 2007-03-08 |
| 1265529069 | Robert F Fekete | Pharmacist | 1524 Woodward Court, Maryville, TN 37803 | 2006-10-05 |
| 1336234848 | Edwin Terry Webb | Pharmacist | 131 Montgomery Lane, Maryville, TN 37803 | 2006-10-03 |
| 1891793014 | Rebecca Lynn Bunch | Counselor | 627 Smithview Drive, Maryville, TN 37803 | 2005-07-12 |
| 1770788895 | Janaan Manney Branch | Registered Nurse | 627 Smithview Drive, Maryville, TN 37803 | 2007-06-19 |
| 1396860185 | Caroline Rech | Registered Nurse | 627 Smithview Drive, Maryville, TN 37803 | 2007-03-20 |
| Find all providers in zip 37803 | ||||
| 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 |
|---|---|---|---|---|
| 1124633995 | Continuum Family Care LLC | Family Medicine | 2336 S Main St, Maryville, MO 64468-3622 | 2020-09-09 |
| 1619530029 | Pamela Gail Byrd | Family Medicine | 934 Dunkirk Dr, Maryville, TN 37801-8990 | 2019-04-22 |
| 1710495965 | Sarah Elizabeth Barto | Family Medicine | 2133 Vadalabene Drive, Suite Sb, Maryville, IL 62062 | 2018-01-22 |
| 1134504012 | Dallas Mullock | Family Medicine | 2332 S Main St, Maryville, MO 64468-3622 | 2015-07-21 |
| 1649538802 | Easterly Family Medicine | Family Medicine | 104 Parliament Drive, Maryville, TN 37804-6209 | 2012-04-25 |
| 1407144819 | Norah Claire Farley Baker | Family Medicine | 10 Professional Park Dr., Maryville, IL 62062 | 2011-07-19 |
| 1275854465 | Charles S Fillingane II | Family Medicine | 2336 S Main St Lowr Level, Maryville, MO 64468-3622 | 2010-06-22 |
| 1083767479 | Metro East Healthcare Limited | Family Medicine | 2133 Vadalabene Dr Ste 5b, Maryville, IL 62062-5839 | 2007-01-19 |
| 1356368310 | Blount Memorial Hospital, Inc. | Family Medicine | 116 Chantilly Ln, Maryville, TN 37803-6102 | 2006-07-16 |
| 1821032285 | Jonathan F Greene | Family Medicine | 720 Foothills Mall Dr, Maryville, TN 37801-3519 | 2006-06-16 |
| Find all providers in MARYVILLE | ||||
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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.