MICHELLE T GARDNER


Address: 1001 Sam Perry Blvd, Fredericksburg, VA 22401
Phone: 5407411100

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).

Provider Overview

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

Taxonomy

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

Provider Secondary Practice Location

Address Telephone Number Fax Number
1250 E Marshall St, Peds: Pediatrics, Richmond, VA 232985051 8048289955 8048285775

Other Providers MICHELLE GARDNER

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

Office Location

Street Address 1001 SAM PERRY BLVD
City FREDERICKSBURG
State VA
Zip Code 22401

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 2080P0203X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Critical Care Medicine

Taxonomy Definition

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)

Providers in the same taxonomy and state

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

Competitor

Search similar providers

City FREDERICKSBURG
Zip Code 22401

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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