MR. JEFFREY LOUIS GARDNER (NPI# 1841363553) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841363553 |
| Entity Type | Individual |
| Full Name | MR. JEFFREY LOUIS GARDNER |
| Credential | M.D. |
| Practice Address |
200 Madison Ave 2b Elmira NY 14901-3218 |
| Mailing Address |
600 Roe Ave Elmira NY 14905-1629 |
| Practice Telephone | 6077321310 |
| Practice Fax Number | 6077330940 |
| Mailing Telephone | 6077377732 |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2018-10-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 169951 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | M.V.P. HEALTHCARE ID | 26159 | 01 |
| NY | 01437750 | 05 | |
| NY | TAX I.D. NUMBER | 141766229 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760771604 | Jeffrey Thomas Gardner | Anesthesiology | 8102e Mcdowell Rd 2a, Scottsdale, AZ 85257-3819 | 2011-03-31 |
| 1407901556 | Jeffrey Steven Gardner | Optometrist | 4864 W Broad St, Columbus, OH 43228-1602 | 2007-01-25 |
| 1063588200 | Jeffrey Todd Gardner | Family Medicine | 221 W Fir Ave #101, Clovis, CA 93611-0223 | 2006-11-28 |
| 1184704801 | Jeffrey Jerome Gardner | Dentist | 1065 Johnnie Dodds Blvd, Suite C, Mount Pleasant, SC 29464-6153 | 2006-10-17 |
| 1366901324 | Jeffrey Thomas Gardner II | Student in an Organized Health Care Education/Training Program | 55 Fruit St, Boston, MA 02114 | 2019-03-18 |
| 1497283972 | Jeffrey Patrick Gardner | Counselor | 116 Mechanic St, Bellingham, MA 02019-1678 | 2017-05-30 |
| 1366775835 | Jeffrey W Gardner | Physical Therapist | 4850 E Baseline Rd, Suite 114, Mesa, AZ 85206-4625 | 2009-09-15 |
| 1871772178 | Jeffrey Gardner | Anesthesiology | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2007-11-02 |
| Street Address |
200 MADISON AVE 2B |
| City | ELMIRA |
| State | NY |
| Zip Code | 14901-3218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497275242 | Esra Salah Shermadou | Family Medicine | 200 Madison Ave, Elmira, NY 14901 | 2017-06-22 |
| 1477967982 | Constantino George Lambroussis | Family Medicine | 200 Madison Ave, Suite 2b, Elmira, NY 14901-3218 | 2014-06-12 |
| 1144522996 | Jessica Anne Gonzalez | Nurse Practitioner | 200 Madison Ave, Suite 2d, Elmira, NY 14901-3218 | 2010-11-30 |
| 1366759045 | Coveney Fitzsimmons | Family Medicine | 200 Madison Ave, Suite 2b, Elmira, NY 14901-3218 | 2010-09-02 |
| 1518279140 | Pedro Juan Gonzalez Zayas | Internal Medicine | 200 Madison Ave, 3rd Floor, Elmira, NY 14901-3218 | 2010-07-12 |
| 1275869869 | Guthrie Clinic Ltd | Clinic/Center | 200 Madison Ave, Suite 2c, Elmira, NY 14901-3218 | 2009-11-02 |
| 1558590067 | Mohamed Omar Atwaibi | Internal Medicine | 200 Madison Ave, Suite 2c, Elmira, NY 14901-3218 | 2009-07-06 |
| 1750573853 | Guthrie Clinic, Ltd. | Durable Medical Equipment & Medical Supplies | 200 Madison Ave, Suite 2c, Elmira, NY 14901-3218 | 2007-08-13 |
| 1659582922 | Benjamin A. Oakes | Physician Assistant | 200 Madison Ave, 3rd Floor, Elmira, NY 14901-3218 | 2007-05-25 |
| 1265659197 | John Witherspoon Alves | Family Medicine | 200 Madison Ave, Suite 2b, Elmira, NY 14901-3218 | 2007-04-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447818182 | Davida Reane Moss | Case Manager/Care Coordinator | 310 Pensyvania Avenue, Elmira, NY 14901 | 2019-05-29 |
| 1316504889 | Jessica Leigh Badilla | Counselor | 1013 Water St, Elmira, NY 14901 | 2019-05-21 |
| 1427508811 | Cynthia Ann Sullivan | Counselor | 1019 E. Water Street, Elmira, NY 14901 | 2016-10-10 |
| 1508313362 | Kim Burlew | Case Manager/Care Coordinator | 1019 W. Water Street Family Services of Chemung County, Elmire, NY 14901 | 2016-09-08 |
| 1396195095 | State of New York Comptrollers Office | Clinic/Center | 164 Sullivan Street, Elmira, NY 14901 | 2016-06-14 |
| 1285089581 | Tasha R Miller | Licensed Practical Nurse | 426 Woodawn Ct, Elmira, NY 14901 | 2016-04-25 |
| 1750628111 | Kelly E Bartle-bush | Social Worker | 711 Sullivan St., Elmira, NY 14901 | 2013-01-04 |
| 1144594946 | Brian Mustico | Occupational Therapist | 512 West Clinton Street, Apartment B, Elmira, NY 14901 | 2012-02-27 |
| 1063780880 | Deidre Ann Callaghan | Physical Therapy Assistant | 555 St.josephs Blvd, Elmira, NY 14901 | 2011-12-07 |
| 1972889467 | Arnot Health | General Acute Care Hospital | 1 St.joseph's Blvd., Elmira, NY 14901 | 2011-10-27 |
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| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306888474 | Kurt L Krause | Pediatrics | 302 Hoffman St, Elmira, NY 14905-2263 | 2006-06-12 |
| 1841497690 | Ellen Margaret Mchugh | Pediatrics | 200 Madison Ave Ste 2d, Elmira, NY 14901-3219 | 2007-06-27 |
| 1275630980 | Lakshmi Bhaskar Biradavolu | Pediatrics | 200 Madison Ave, Suite 2b, Elmira, NY 14901-3218 | 2006-09-17 |
| 1447287024 | Mary B Muse | Pediatrics | 302 Hoffman St, Elmira, NY 14905-2263 | 2006-06-27 |
| 1356378939 | Kenneth Sobel | Pediatrics | 302 Hoffman St, Elmira, NY 14905-2263 | 2006-06-27 |
| 1780611368 | Stephen J Eberhard | Pediatrics | 302 Hoffman St, Elmira, NY 14905-2263 | 2006-06-27 |
| 1588691133 | Amy L White | Pediatrics | 302 Hoffman St, Elmira, NY 14905-2263 | 2006-06-27 |
| 1346283710 | Jonathan R Homuth | Pediatrics | 302 Hoffman St, Elmira, NY 14905-2263 | 2006-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518577550 | Danielle Vann | Pediatrics | 151 N Washington St # 2s, Sleepy Hollow, NY 10591-3117 | 2020-08-04 |
| 1699392357 | Long Island Pediatrics of Patchogue PC | Pediatrics | 475 E Main St Ste 109, Patchogue, NY 11772-3121 | 2020-06-29 |
| 1811510811 | Dr Pediatric PC | Pediatrics | 38 Hopewell Dr, Stony Brook, NY 11790-2339 | 2020-05-26 |
| 1598386864 | Sandra Howard Bonat | Pediatrics | 4 Filomena Ct, Dix Hills, NY 11746-4750 | 2020-04-28 |
| 1497374359 | Medical Health 360 Pllc | Pediatrics | 16955 County Route 59, Dexter, NY 13634-2027 | 2020-04-10 |
| 1922633007 | Danzi & Hajduk-bennett Pediatrics Pllc | Pediatrics | 994 W Jericho Tpke Ste 202, Smithtown, NY 11787-3234 | 2020-03-09 |
| 1396377180 | Chelsea Oberkrieser | Pediatrics | 17 Long Ave Ste 110, Hamburg, NY 14075-6200 | 2020-02-10 |
| 1619508900 | Total Care Pediatrics Pllc | Pediatrics | 4265 Kissena Blvd # L4, Flushing, NY 11355-3273 | 2020-01-27 |
| 1639709157 | Decerina Uy Md PC | Pediatrics | 649 Route 25a Ste 3, Rocky Point, NY 11778-8983 | 2020-01-23 |
| 1447890603 | Opear Holdings, Inc | Pediatrics | 2635 Frances St, Bellmore, NY 11710-5401 | 2020-01-15 |
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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.