ROBERT A.M. GARDERE (NPI# 1811001951) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811001951 |
| Entity Type | Individual |
| Full Name | ROBERT A.M. GARDERE |
| Credential | M.D. |
| Practice Address |
3115 Pine Ave Ste#908 Waco TX 76708-3247 |
| Practice Telephone | 2547522575 |
| Practice Fax Number | 2547520188 |
| Mailing Telephone | 2547522575 |
| Mailing Fax Number | 2547520188 |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | E7938 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
3115 PINE AVE STE#908 |
| City | WACO |
| State | TX |
| Zip Code | 76708-3247 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871583773 | Dianne Waddell Sawyer | Obstetrics & Gynecology | 3115 Pine Ave, Ste 903, Waco, TX 76708-3247 | 2005-10-24 |
| 1023255254 | Dermatology & Plastic Surgery Association, Inc. | Specialist | 3115 Pine Ave, Suite 908, Waco, TX 76708-3247 | 2009-01-09 |
| 1356515480 | Angela Nix Carter | Speech-Language Pathologist | 3115 Pine Ave, 808, Waco, TX 76708-3247 | 2008-04-18 |
| 1285756015 | Paul C. Redman, II, M.d. | Obstetrics & Gynecology | 3115 Pine Ave, Suite 708, Waco, TX 76708-3247 | 2007-04-04 |
| 1164551420 | Linda Ellen Branz | Nurse Practitioner | 3115 Pine Ave, Suite 708, Waco, TX 76708-3247 | 2007-03-05 |
| 1891870242 | Waco Pediatric Health Associates | Pediatrics | 3115 Pine Ave, 1006, Waco, TX 76708-3247 | 2006-10-26 |
| 1629175369 | Jeffrey Joseph Leinfelder | Ophthalmology | 3115 Pine Ave, Suite 202, Waco, TX 76708-3247 | 2006-09-17 |
| 1710084447 | Lewis Richard Kannwischer | Ophthalmology | 3115 Pine Ave, Suite 202, Waco, TX 76708-3247 | 2006-09-17 |
| 1922118314 | Alfred Earl Gibbons Jr. | Specialist | 3115 Pine Ave, Suite 301, Waco, TX 76708-3247 | 2006-08-30 |
| 1902817448 | James Morris Smith | Pathology | 3115 Pine Ave, Suite 108, Waco, TX 76708-3201 | 2006-08-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144868613 | Sarah Bogacz | Behavior Technician | 6824 Logue Lane, Bluesprig Pediatrics, Waco, TX 76708 | 2019-12-16 |
| 1700358215 | Albert Jacob Puente | Specialist/Technologist | 1101 North Q Ave, Clifton, TX 76708 | 2018-12-21 |
| 1437414810 | Cenikor Foundation | Substance Abuse Rehabilitation Facility | 3015 Herring Avenue, Waco, TX 76708 | 2012-07-11 |
| 1922393610 | Betty Hendricks | Nurse Practitioner | 4601 N 19th Street, Waco, TX 76708 | 2011-06-10 |
| 1023239498 | Esc Iv, Lp | Assisted Living Facility | 3801 Martin Luther King Jr Bvd, Waco, TX 76708 | 2007-05-01 |
| 1952429367 | Dod David Moore | Dentist | 10104 Saddle Creek Rd, Waco, TX 76708 | 2007-03-26 |
| 1851400295 | H-e-b, Lp | Clinical Medical Laboratory | 3801 N 19th St, Waco, TX 76708 | 2006-08-30 |
| 1972527257 | Meryl Burchardt | Nurse Practitioner | 2201 Macarthur, Suite 2200, Waco, TX 76708 | 2006-07-27 |
| 1669493292 | Central Texas Anesthesiology Associates Inc | Anesthesiology | 3000 Herring, Waco, TX 76708 | 2006-07-21 |
| 1679507768 | Russell L Mcclellan | Radiology | 3000 Herring Avenue, Waco, TX 76708 | 2006-07-11 |
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| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780794446 | Eric F O'neill | Plastic Surgery | 1000 W. Highway 6, Suite 500, Waco, TX 76712-7922 | 2006-08-30 |
| 1750607693 | Darlene Michele Sparkman | Plastic Surgery | 100 Hillcrest Medical Blvd, Waco, TX 76712-8897 | 2010-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467059063 | Joseph Peter Corkum | Plastic Surgery | 1400 Pressler St Unit 1488, Houston, TX 77030-3722 | 2020-10-06 |
| 1780212829 | Kendall R Roehl Md Pllc | Plastic Surgery | 450 W Medical Center Blvd Ste 202, Webster, TX 77598-4229 | 2020-04-01 |
| 1275184871 | Dallas Premier Plastic Surgery, P.l.l.c. | Plastic Surgery | 8144 Walnut Hill Ln Ste 901, Dallas, TX 75231-4386 | 2019-09-25 |
| 1447802798 | Michael Ciaravino, Md Pa | Plastic Surgery | 3700 Buffalo Speedway Ste 850, Houston, TX 77098-3705 | 2019-07-16 |
| 1437617255 | Westlake Dermatology, Pa | Plastic Surgery | 2132 Bissonnet St, Houston, TX 77005-1508 | 2019-03-11 |
| 1528530326 | Peter George Dziewulski | Plastic Surgery | Utmb 301 University Boulevard 6.146 John Sealy Annex, Galveston, TX 77555-0001 | 2018-12-19 |
| 1225504491 | Beleza Surgery Center LLC | Plastic Surgery | 9899 Towne Lake Pkwy Ste 200, Cypress, TX 77433-6838 | 2018-10-15 |
| 1104311901 | Zeynep Deniz Akdeniz Dogan | Plastic Surgery | 1400 Pressler St The University of Texas Md Anderson Ca, Unit 1488, Houston, TX 77030 | 2018-06-25 |
| 1730604992 | Sarah A Frommer Medical Pllc | Plastic Surgery | 11412 Bee Caves Rd Ste 300, Austin, TX 78738-5515 | 2017-08-09 |
| 1992220180 | Johnny U. Franco, Md, Pa | Plastic Surgery | 3445 Executive Center Dr Ste 213, Austin, TX 78731-1743 | 2017-08-08 |
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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.