MR. JOHN HARVEY GARDNER


Address: 1455 Union Ave, Memphis, TN 38104-6727
Phone: 9017266655

MR. JOHN HARVEY GARDNER (NPI# 1669445276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1669445276
Entity Type Individual
Full Name MR. JOHN HARVEY GARDNER
Credential MD
Practice Address 1455 Union Ave
Memphis
TN 38104-6727
Practice Telephone 9017266655
Practice Fax Number 9017269056
Mailing Telephone 9017266655
Mailing Fax Number 9017269056
Enumeration Date 2006-02-13
Last Update Date 2009-04-22
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207ND0101X Dermatology
Specialization: MOHS-Micrographic Surgery
MD6965 TN Allopathic & Osteopathic Physicians
N 207ND0900X Dermatology
Specialization: Dermatopathology
MD6965 TN Allopathic & Osteopathic Physicians
N 207NS0135X Dermatology
Specialization: Procedural Dermatology
MD6965 TN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TN 3171118 05

Other Providers JOHN GARDNER

NPI Name Taxonomy Address Enumeration
1801373022 John Gardner Pharmacist 1280 E Stringham Ave, Salt Lake City, UT 84106-2490 2018-07-20
1861850380 John Gardner Pharmacist 3735 Franklin Rd Sw, Roanoke, VA 24014-2260 2016-01-29
1770826299 John Anthony Gardner II Anesthesiology 1112 S Main St Ste 7, Franklin, KY 42134-2322 2013-04-03
1588977615 John Willard Gardner Preventive Medicine 5805 Dimes Rd, Derwood, MD 20855-1728 2010-07-18
1447578026 John Gardner Nurse Practitioner 44 S 29th St, Newark, OH 43055-2564 2010-05-06
1982806337 John Clayton Gardner Independent Medical Examiner 1609 W 16th St, Parker, AZ 85344-6209 2007-06-05
1720120900 John Kevin Gardner Prosthetist 2108 E 3rd St Ste 100, Chattanooga, TN 37404-2623 2007-02-13
1215083696 John Allen Gardner Dentist 1316 Old 63 South, Suite 201, Columbia, MO 65201-6045 2007-01-26
1700942539 John J. Gardner Optometrist 9400 S Roberts Rd, Hickory Hills, IL 60457-2326 2006-12-28
1114097581 John D Gardner Dentist 1210 Ward Ave, Caruthersville, MO 63830 2006-11-09

Office Location

Street Address 1455 UNION AVE
City MEMPHIS
State TN
Zip Code 38104-6727

Providers in the same location

NPI Name Taxonomy Address Enumeration
1275506404 Rex Allen Amonette Dermatology 1455 Union Ave, Memphis, TN 38104-6727 2006-02-08
1356836076 Mary Elizabeth Stephens Nurse Practitioner 1455 Union Ave, Memphis, TN 38104-6727 2018-06-25
1679937999 Alexandra Dee Maxted Chantara Dermatology 1455 Union Ave, Memphis, TN 38104-6727 2016-04-12
1376800979 Joseph Pietrangelo Dermatology 1455 Union Ave, Memphis Dermatology Clinic, Memphis, TN 38104-6727 2012-04-19
1073824561 Emily T. Overholser Dermatology 1455 Union Ave, Memphis, TN 38104-6727 2010-06-29
1992927214 Frances Kirkland Lawhead Dermatology 1455 Union Ave, Memphis, TN 38104-6727 2007-05-03
1134346430 Courtney Stroupe Woodmansee Dermatology 1455 Union Ave, Memphis, TN 38104-6727 2007-04-19
1215904602 Amy A Huber Dermatology 1455 Union Ave, Memphis, TN 38104-6727 2006-03-03
1558338376 Frank Glover Witherspoon Jr. Dermatology 1455 Union Ave, Memphis, TN 38104-6727 2006-03-01
1366416653 Memphis Dermatology Clinic Pa Dermatology 1455 Union Ave, Memphis, TN 38104-6727 2006-02-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1952900367 Christy White Recreation Therapist 1030 Jefferson Ave (rt117), Memphis, TN 38104 2020-10-19
1821615873 Altiana Carter Optometrist 650 New York St, Memphis, Tn 38104, Memphis, TN 38104 2020-06-25
1952898413 Family To Family Adult Care Service Chore Provider 1331 Union Ave Suite 1028, Mempnis, TN 38104 2018-04-19
1326544800 Kimberly Vestoria Mcclinton Nurse Practitioner 2200 Union Ave 1, Memphis, TN 38104 2018-04-03
1649799339 Benjamin Duhart Jr. Pharmacist 1265 Union Avenue- Methodist University Hospital, Ground Floor Pharmacy Administration, Memphis, TN 38104 2017-09-13
1134644982 Amy Michelle Wise Nurse Practitioner 1325 Eastmoreland Ave Ste 500, Memphis, TN 38104 2017-08-13
1316468572 Jinger Cathey Social Worker 1330 Jefferson Ave, Memphis, TN 38104 2017-06-28
1336669183 Charma May Kavuncu Social Worker 1407 Union Ave Ste 1100, Memphis, TN 38104 2017-06-22
1003345398 Angelica J Dennis Nurse Practitioner 1265 Union, Memphis, TN 38104 2017-06-08
1609302546 Cheryl Beene Nurse Practitioner 1211 Union Ave Ste 475, Memphis, TN 38104 2017-05-11
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Taxonomy Information

Taxonomy Code 207ND0101X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology
Specialization MOHS-Micrographic Surgery

Taxonomy Definition

The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.
Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1770550659 Frances Beard Dermatology 1455 Union Avenue, Memphis, TN 38104-6727 2006-03-01
1275506404 Rex Allen Amonette Dermatology 1455 Union Ave, Memphis, TN 38104-6727 2006-02-08
1760459069 John D Huber IIi Dermatology 1455 Union Avenue, Memphis, TN 38104-6727 2006-03-06
1215904602 Amy A Huber Dermatology 1455 Union Ave, Memphis, TN 38104-6727 2006-03-03
1558338376 Frank Glover Witherspoon Jr. Dermatology 1455 Union Ave, Memphis, TN 38104-6727 2006-03-01
1700853520 Robin H Friedman-musicante Dermatology 1455 Union Avenue, Memphis, TN 38104-6727 2006-03-01
1235106055 Lee Allen Dermatology 1455 Union Avenue, Memphis, TN 38104-6727 2006-03-01

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1295824415 Tricities Skin and Cancer Dermatology 1009 N State of Franklin Access Road Suite A, Johnson City, TN 37604 2006-10-12
1457448599 Brent Moody Dermatology 1900 Patterson St Ste 201, Nashville, TN 37203 2006-10-09
1942238902 East Tennessee Medical Group, PC Dermatology 266 Joule Street, Alcoa, TN 37701-2422 2006-06-29
1881658243 Adult & Pediatric Dermatology of Tullahoma PC Dermatology 100 William Northern Blvd, Ste C, Tullahoma, TN 37388 2006-04-13
1851369391 Thomas Paul Chu Dermatology 520 Trinity Creek Cv, Cordova, TN 38018-2279 2006-03-10
1184608416 Julie M Pena Dermatology 200 Cool Springs Blvd, Franklin, TN 37067-2677 2005-11-30
1306849500 Steve Leroy Peterson Dermatology 1009 North State of Franklin Access Road, Johnson City, TN 37604 2005-05-23
1255938502 Uderm, Pllc Dermatology 5243 Little Debbie Pkwy Ste 111, Ooltewah, TN 37363-4515 2020-10-08
1801362231 Innova Dermatology PC Dermatology 105 Maple Row Blvd, Hendersonville, TN 37075-3853 2018-10-24
1669815452 James Griffith Dermatology 201 Bluebird Dr, Goodlettsville, TN 37072-2301 2013-04-10
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Competitor

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City MEMPHIS
Zip Code 38104

Improve Information

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Dataset Information

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.

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