PETER THOMAS GARDNER (NPI# 1821127093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821127093 |
| Entity Type | Individual |
| Full Name | PETER THOMAS GARDNER |
| Credential | MD |
| Practice Address |
2075 Pleasant Plains Ext Rd Jackson TN 38305-6087 |
| Mailing Address |
Po Box 12197 Dept Jackson TN 38308-0136 |
| Practice Telephone | 7319848400 |
| Practice Fax Number | 7319848305 |
| Mailing Telephone | 7319848400 |
| Mailing Fax Number | 7319848305 |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2011-06-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | MD26391 | TN | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 26391 | TN | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972590578 | Peter Gardner | Specialist | 92 Jordan Ln, Stamford, CT 06903-3914 | 2005-09-29 |
| 1205104320 | Peter Gardner | Nurse Anesthetist, Certified Registered | 3705 Medical Pkwy, Suite 570, Austin, TX 78705 | 2011-12-03 |
| 1144555244 | Peter J Gardner | Registered Nurse | 11801 Buckeye Rd, Cleveland, OH 44120-2620 | 2009-10-07 |
| Street Address |
2075 PLEASANT PLAINS EXT RD |
| City | JACKSON |
| State | TN |
| Zip Code | 38305-6087 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528698271 | Samantha French | Nurse Practitioner | 2075 Pleasant Plains Ext Rd, Jackson, TN 38305-6087 | 2020-01-22 |
| 1578059648 | Tiffany Gaugh Simpson | Nurse Practitioner | 2075 Pleasant Plains Ext Rd, Jackson, TN 38305-6087 | 2018-07-02 |
| 1093226748 | Robert Henry Owens | Nurse Practitioner | 2075 Pleasant Plains Ext Rd, Jackson, TN 38305-6087 | 2017-10-21 |
| 1598212300 | Chynna Mckinley Hatcher | Nurse Practitioner | 2075 Pleasant Plains Ext Rd, Jackson, TN 38305-6087 | 2016-09-09 |
| 1164800629 | Sheree Smith | Nurse Practitioner | 2075 Pleasant Plains Ext Rd, Jackson, TN 38305-6087 | 2015-05-15 |
| 1508259508 | Taylor Brooke Mclean | Nurse Practitioner | 2075 Pleasant Plains Ext Rd, Jackson, TN 38305-6087 | 2015-03-15 |
| 1629419619 | John E Lanier | Physician Assistant | 2075 Pleasant Plains Ext Rd, Jackson, TN 38305-6087 | 2013-07-08 |
| 1407294721 | Lisa R Crowell | Nurse Practitioner | 2075 Pleasant Plains Ext Rd, Jackson, TN 38305-6087 | 2013-06-08 |
| 1760777916 | Krystle B Pierce | Physical Therapist | 2075 Pleasant Plains Ext Rd, Jackson, TN 38305-6087 | 2011-06-16 |
| 1568699858 | Brandon Sims | Nurse Practitioner | 2075 Pleasant Plains Ext Rd, Jackson, TN 38305-6087 | 2009-06-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427656818 | Kimaya Jelks | Specialist | 1869 45 Hwy Bypass, Suite 2b, Jackson, TN 38305 | 2020-10-16 |
| 1821600578 | Maame Obeng | Pharmacist | 3144 North Highland Avenue, Jackson, TN 38305 | 2020-08-22 |
| 1700361904 | James Cowie | Psychologist | 156c West University Pkwy, Jackson, TN 38305 | 2018-10-03 |
| 1700372109 | Chad Zawacki | Physician Assistant | 147 North Star Drive, Jackson, TN 38305 | 2018-07-09 |
| 1104323070 | Golden Years Adult Day Care | Clinic/Center | 155 Carriage Dr Suite A, Jackson, TN 38305 | 2018-04-09 |
| 1245754563 | Tanika Annette Gillard | Massage Therapist | 4 Hampton Ln, Jackson, TN 38305 | 2017-07-28 |
| 1316488117 | Lakisha T Ingram | Counselor | 168 Greencastle Dr, Jackson, TN 38305 | 2017-03-13 |
| 1619421567 | D & L Wellness Inc | Community/Behavioral Health | 154 Carriage House Dr., Jackson, TN 38305 | 2016-08-09 |
| 1649637638 | Advance Choice Home Care LLC | In Home Supportive Care | 1028 Ashport Rd., Jackson, TN 38305 | 2016-01-21 |
| 1942666151 | Neurohealth Solutions Inc. | Clinic/Center | 174 Murray Guard Dr. Suite E, Jackson, TN 38305 | 2016-01-05 |
| Find all providers in zip 38305 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366991523 | Jackson State University | General Practice | 1400 Jr Lynch St, Jackson, MS 39217-0002 | 2016-09-29 |
| 1124475371 | Donald Lafont | General Practice | 331 Edenwood Dr, Jackson, TN 38301-3432 | 2016-05-18 |
| 1669717302 | Lift Wellness Inc | General Practice | 101 Jackson Walk Plaza, Jackson, TN 38301 | 2012-12-06 |
| 1457665333 | Teton County Hospital District | General Practice | Box 428 625 E Broadway Ave, Jackson, WY 83001-8642 | 2010-08-03 |
| 1851524730 | Byrd Lamar Payne | General Practice | 1205 Lyncrest Ave, Jackson, MS 39202-2106 | 2009-08-26 |
| 1801031703 | Total Spine Surgical Center LLC | General Practice | 1455 College Ave, Jackson, AL 36545-2410 | 2008-12-05 |
| 1992974018 | Visiting Doctors PC | General Practice | 2108 4th St Ste A, Jackson, MI 49203-4518 | 2008-02-22 |
| 1154491579 | Bruce Hayse | General Practice | 269 West Broadway, Jackson, WY 83001-1884 | 2006-11-09 |
| 1104880558 | Lorna Gaye Pinson | General Practice | 3235 East Michigan Ave, Jackson, MI 49202 | 2006-04-13 |
| 1639146814 | Melanie Hoppers | General Practice | 2075 Pleasant Plains Extended, Jackson, TN 38305 | 2006-03-07 |
| Find all providers in JACKSON | ||||
Please comment or provide details below to improve the information on PETER THOMAS GARDNER.
| 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.