MICHELLE T GARDNER (NPI# 1831450469) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1831450469 |
Entity Type | Individual |
Full Name | MICHELLE T GARDNER |
Credential | M.D. |
Practice Address |
1001 Sam Perry Blvd Fredericksburg VA 22401 |
Mailing Address |
Po Box 37215 Baltimore MD 21297-3215 |
Practice Telephone | 5407411100 |
Mailing Telephone | 2024765000 |
Enumeration Date | 2012-05-30 |
Last Update Date | 2018-06-07 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 208000000X | Pediatrics | 0101257904 | VA | Allopathic & Osteopathic Physicians |
Y | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
M-14177 | ID | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
1250 E Marshall St, Peds: Pediatrics, Richmond, VA 232985051 | 8048289955 | 8048285775 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265851703 | Michelle Diann Gardner | Specialist/Technologist | 615 S State St, Grangeville, ID 83530-2035 | 2014-04-14 |
1891073102 | Michelle A Gardner | Student in an Organized Health Care Education/Training Program | 3800 S 48th St, Lincoln, NE 68506-4345 | 2011-08-03 |
1316109945 | Michelle N Gardner | Occupational Therapist | 4255 Medwell Dr., Newburgh, IN 47630 | 2008-06-25 |
1639383599 | Michelle Ann Gardner | Optometrist | 808 Wacker Dr, Dubuque, IA 52002 | 2007-05-10 |
1447603808 | Michelle E Gardner | Nurse Practitioner | 3730 S Pinnacle Hills Pkwy Ste 2, Rogers, AR 72758 | 2016-07-20 |
1548614928 | Michelle Gardner | Nurse Practitioner | 400 Water Ave, Hillsboro, WI 54634-9054 | 2016-04-21 |
1831514702 | Michelle Gardner | Physical Therapist | 4801 Springfield St, Dayton, OH 45431-1084 | 2014-02-28 |
1437231354 | Michelle Huffman Gardner | Family Medicine | 315 E Elm St, Ste 100, Caldwell, ID 83605-4857 | 2006-10-19 |
1548299118 | Michelle W Gardner | Psychiatry & Neurology | 656 State St, Bangor, ME 04401-5609 | 2006-07-03 |
1366488892 | Michelle A Gardner | Nurse Practitioner | 489 State St, Bangor, ME 04401-6616 | 2006-06-22 |
Street Address |
1001 SAM PERRY BLVD |
City | FREDERICKSBURG |
State | VA |
Zip Code | 22401 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730185398 | Torrey Hawley | Nurse Anesthetist, Certified Registered | 1001 Sam Perry Blvd, Fredericksburg, VA 22401-4453 | 2005-06-28 |
1023622529 | Jacob Dillon Gooden | Physician Assistant | 1001 Sam Perry Blvd, Fredericksburg, VA 22401-4453 | 2020-09-02 |
1508478462 | Sabrina Brandi Cervantez | Registered Nurse | 1001 Sam Perry Blvd, Fredericksburg, VA 22401-4453 | 2020-08-20 |
1275144297 | Emily Burger | Pharmacist | 1001 Sam Perry Blvd, Fredericksburg, VA 22401-4453 | 2020-08-13 |
1144839762 | Briana Lafuria | Registered Nurse | 1001 Sam Perry Blvd, Fredericksburg, VA 22401-4453 | 2020-07-29 |
1831724301 | Yaru Chen | Registered Nurse | 1001 Sam Perry Blvd, Fredericksburg, VA 22401-4453 | 2020-03-05 |
1922631456 | Christopher Barnes | Registered Nurse | 1001 Sam Perry Blvd, Fredericksburg, VA 22401-4453 | 2020-02-12 |
1649803172 | Richard L Derrick | Registered Nurse | 1001 Sam Perry Blvd, Fredericksburg, VA 22401-4453 | 2020-02-12 |
1851930838 | Markia Stewart Dudley | Nurse Practitioner | 1001 Sam Perry Blvd, Fredericksburg, VA 22401-4453 | 2019-12-23 |
1861030637 | Amalea Suzette Gray | Pharmacist | 1001 Sam Perry Blvd, Fredericksburg, VA 22401-4453 | 2019-12-12 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992313415 | Amanda Dodd | Behavior Technician | 1411 Princess Anne, Fredericksburg, VA 22401 | 2020-07-21 |
1215567326 | Britteny Whitaker | Behavior Technician | 1411 Princess Ann, Fredericksburg, VA 22401 | 2020-01-17 |
1396389433 | Ashley Stanevich | Behavior Technician | 1411 Princess Anne Lane, Fredericksburg, VA 22401 | 2019-11-01 |
1265074231 | Anna Kelleher | Behavior Technician | 1411 Princess Anna St, Frericksburg, VA 22401 | 2019-10-11 |
1649824152 | Zaan Z Ali | Audiologist | 1708 Fall Hill Ave Suite 100, Fredericksburg, VA 22401 | 2019-08-01 |
1790342426 | Michael Williams Jr. | Physician Assistant | 411 B Park Hill Dr, Frederickburg, VA 22401 | 2019-05-29 |
1285290965 | Ann Damalie Namabiro | Behavior Technician | 1411 Princess Ann Street, Fredericksburg, VA 22401 | 2019-05-17 |
1922579630 | Primary and Urgent Care LLC | Family Medicine | Primary and Urgent Care LLC, 2306 Plank Road Ste 100, Fredericksburg, VA 22401 | 2018-12-07 |
1003323056 | Mariah Mazzariello | Behavior Technician | 1411 Princess Anne Stree, Fredericksburg, VA 22401 | 2017-12-29 |
1336655281 | Hina Zafar | Behavior Technician | 1411 Princess Anne St., Fredericksburg, VA 22401 | 2017-12-14 |
Find all providers in zip 22401 |
Taxonomy Code | 2080P0203X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Pediatric Critical Care Medicine |
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. ACGME Accredited Residency Program Requirements: 2 years of training with 3 years Pediatrics plus 1 year Pediatric Critical Care for certification for a total of 6 years. ABMS Approved Subspecialty Certificate (Pediatrics) |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417394370 | Kara D Greenfield | Pediatrics | 1008 E Clay St, Richmond, VA 23298-5056 | 2013-05-31 |
1801844980 | Anthony J. Camerota | Pediatrics | 5 Hospital Dr, Charlottesville, VA 22908-9007 | 2006-05-04 |
1740279603 | Andrew P. Metinko | Pediatrics | Lee St Fl 7, Charlottesville, VA 22908-0001 | 2005-10-13 |
1023019056 | Abhik Kumar Biswas | Pediatrics | Naval Medical Center Portsmouth, Picu, 620 John Paul Jones Circle, Portsmouth, VA 23708 | 2005-08-01 |
1346244308 | James L Laham | Pediatrics | 5801 Bremo Rd, Richmond, VA 23226-1907 | 2005-06-08 |
1174049282 | Oliver Laurent Karam | Pediatrics | 1250 E Marshall St, Richmond, VA 23298-5051 | 2017-08-21 |
1255750311 | Sunana Singh | Pediatrics | 5801 Bremo Rd, Richmond, VA 23226-1907 | 2014-04-15 |
1467711614 | Vu Trieu Nguyen | Pediatrics | 1250 E Marshall St, Richmond, VA 23298-5051 | 2012-05-09 |
1265708861 | Michelle Lynn Olson | Pediatrics | 1250 E Marshall St, Richmond, VA 23298-5051 | 2012-03-28 |
1578741500 | Charlene Banks | Pediatrics | 3300 Gallows Rd, Falls Church, VA 22042-3307 | 2008-01-31 |
Find all providers with the same taxonomy |
City | FREDERICKSBURG |
Zip Code | 22401 |
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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.