MARK EDWARD GARDNER (NPI# 1770132623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770132623 |
| Entity Type | Individual |
| Full Name | MARK EDWARD GARDNER |
| Credential | LPC |
| Practice Address |
101 East Avenue Erie PA 16507 |
| Mailing Address |
Po Box 1016 Waterford PA 16441-1016 |
| Practice Telephone | 8148828298 |
| Mailing Telephone | 8148828298 |
| Enumeration Date | 2019-09-04 |
| Last Update Date | 2019-09-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
PC011401 | PA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750908265 | Mark Gardner | Pharmacist | 125 Water St, Newton, NJ 07860-1420 | 2020-06-30 |
| 1114055787 | Mark R Gardner | Internal Medicine | 4321 Fir St Ste 313, East Chicago, IN 46312-3049 | 2007-03-02 |
| 1073604112 | Mark Steven Gardner | Social Worker | 1319 Vincent Pl, Mc Lean, VA 22101-3615 | 2006-09-27 |
| 1619938370 | Mark William Gardner | Dentist | 1239 State Road 229, Batesville, IN 47006-6804 | 2006-03-31 |
| 1336131473 | Mark A Gardner | Podiatrist | 453 Mclaws Cir, Suite 1, Williamsburg, VA 23185-5645 | 2005-08-16 |
| 1891797247 | Mark Gardner | Physician Assistant | 812 Miller Ave, Suite C, Sunnyside, WA 98944-2374 | 2005-08-15 |
| 1396279949 | Mark Gardner | Dentist | 1250 E Marshall St, Richmond, VA 23298-5051 | 2017-04-19 |
| 1225432354 | Mark Owen Gardner | Occupational Therapist | 505 E 3rd Ave Ste B, Spokane, WA 99202-1426 | 2014-10-17 |
| 1134531858 | Mark S Gardner | Chiropractor | 14000 Se Johnson Rd, Milwaukie, OR 97267-2316 | 2014-05-29 |
| 1467766022 | Mark Gardner | Orthopaedic Surgery | 1599 N Hermitage Rd, Hermitage, PA 16148-3180 | 2010-08-05 |
| Street Address |
101 EAST AVENUE |
| City | ERIE |
| State | PA |
| Zip Code | 16507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518431915 | Katrina L Putnam | Social Worker | 101 East Avenue, Erie, PA 16507 | 2019-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275198723 | Ram Baboo | Student in an Organized Health Care Education/Training Program | 120 East 2nd Street Upmc Northshore Neurology, 3rd Floor, Erie, PA 16507 | 2019-05-09 |
| 1144712084 | Kathlyn Elise Callenius | Student in an Organized Health Care Education/Training Program | 120 East Second St, 3rd Floor, Erie, PA 16507 | 2018-06-06 |
| 1043707490 | Cecelia Anne Hollands | Counselor | 103 East Ave., Erie, PA 16507 | 2018-04-20 |
| 1336591239 | Zachary Dusckas | Student in an Organized Health Care Education/Training Program | 100 Peach St #400, Orthopaedics & Sports Medicine of Erie, Erie, PA 16507 | 2016-07-05 |
| 1679928329 | Stephanie Libra | Occupational Therapist | 100 Barber Place, Box # 29, Erie, PA 16507 | 2016-05-02 |
| 1821476243 | Colin Macelroy Vroome Jr. | Orthopaedic Surgery | Hand, Microsurgery, Reconstructive Orthopedics, LLP, 300 State St. Suite 205, Erie, PA 16507 | 2015-05-18 |
| 1255742227 | Danoushka Tememe | Psychiatry & Neurology | 120 East Second St., 3rd Floor, Erie, PA 16507 | 2014-05-13 |
| 1811307507 | David Aaron Hammer | Psychiatry & Neurology | 120 E Second Street Upmc North Shore Neurology, 7rd Floor, Erie, PA 16507 | 2014-05-02 |
| 1912330325 | Jeanine Krugger | Pharmacist | 363 East 6th St, Erie, PA 16507 | 2013-08-21 |
| 1881911071 | Ireatha Lashonda Wardsworth | Nurse Anesthetist, Certified Registered | 1133 East Laske Road, Erie, PA 16507 | 2010-04-27 |
| Find all providers in zip 16507 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912508771 | Nicole Boyer | Counselor | 5117 W Lake Rd, Erie, PA 16505-2925 | 2020-11-06 |
| 1730793464 | Lauren Ashley Lippert | Counselor | 1813 Holland St, Erie, PA 16503-1809 | 2020-09-01 |
| 1639782212 | Andrew Kenneth Kohl | Counselor | 3117 Colonial Ave, Erie, PA 16506-1836 | 2020-08-25 |
| 1710500897 | Wendy J Mcdonald | Counselor | 5228 Annendale Dr, Erie, PA 16506-4650 | 2020-05-22 |
| 1649806381 | Krista L Stearns | Counselor | 2919 State St, Erie, PA 16508-1831 | 2020-03-13 |
| 1750920146 | Ashley Yatzor | Counselor | 2222 Filmore Ave Ste 502, Erie, PA 16506-2984 | 2020-01-02 |
| 1003452293 | Sharece Necole Campbell | Counselor | 525 Shenley Dr, Erie, PA 16505-2233 | 2019-11-21 |
| 1255974267 | Jordan Elizabeth Burns | Counselor | 3227 Highland Rd, Erie, PA 16506-3557 | 2019-10-22 |
| 1518518075 | Emily Mckay | Counselor | 366 Montgomery Dr, Erie, CO 80516-8478 | 2019-09-26 |
| 1275184962 | Elizabeth Grace Bricker | Counselor | 252 Locust St, Erie, PA 16508-2971 | 2019-09-24 |
| Find all providers in ERIE | ||||
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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.