CHARLES WILLIAM GARDNER JR. (NPI# 1881763670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881763670 |
| Entity Type | Individual |
| Full Name | CHARLES WILLIAM GARDNER JR. |
| Credential | M.D. |
| Practice Address |
4401 Ford Ave Suite 250 Alexandria VA 22302-1473 |
| Practice Telephone | 7036474962 |
| Practice Fax Number | 7033795380 |
| Mailing Telephone | 7036474962 |
| Mailing Fax Number | 7033795380 |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2010-07-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 0101033882 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RAILROAD MEDICARE | P00126329 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639521180 | Charles N Gardner | Physical Therapy Assistant | 1056 Mine 10 Rd, Beccaria, PA 16616-9716 | 2016-07-08 |
| 1992010227 | Charles Sperry Gardner | Psychiatry & Neurology | 409 Field Point Rd, Greenwich, CT 06830-7041 | 2010-08-11 |
| 1932237724 | Charles Henry Gardner | Chiropractor | 418 94th Ave N, St Petersburg, FL 33702-2522 | 2007-03-01 |
| 1396825980 | Charles Clifford Gardner Jr. | Surgery | 3420 Buckeye Run, Ft Wayne, IN 46814-8972 | 2006-10-17 |
| 1902316946 | Charles Jacob Gardner | Emergency Medicine | 1600 S 20th Ave, Safford, AZ 85546-4011 | 2017-10-04 |
| 1790102093 | Charles H Gardner Jr. | Counselor | 1012 Union St, Bangor, ME 04401-3060 | 2014-03-25 |
| 1720417090 | Charles Joseph Gardner IIi | Nurse Anesthetist, Certified Registered | 401 W Greenlawn Ave, Lansing, MI 48910-2819 | 2013-11-06 |
| 1801953831 | Charles Joseph Gardner | Chiropractor | 325 N Main St, Belton, TX 76513-3162 | 2007-01-02 |
| 1659328656 | Charles Chesley Gardner | Kinesiotherapist | 1201 Broad Rock Blvd, Kt/pm&r/117, Richmond, VA 23249-0001 | 2006-05-27 |
| Street Address |
4401 FORD AVE SUITE 250 |
| City | ALEXANDRIA |
| State | VA |
| Zip Code | 22302-1473 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821013319 | Alexandria Sports, Inc. | Clinic/Center | 4401 Ford Ave, Suite 301, Alexandria, VA 22302 | 2006-07-13 |
| 1275981508 | Wilma Roberts | Social Worker | 4401 Ford Ave, Suite 103, Alexandria, VA 22302-1473 | 2016-05-26 |
| 1831460732 | William Richard Kempe | Chiropractor | 4401 Ford Ave, Suite 250, Alexandria, VA 22302-1473 | 2012-01-24 |
| 1265589816 | Natasha Wynne Lewry Beauvais | Family Medicine | 4401 Ford Ave, Suite 250, Alexandria, VA 22302-1473 | 2007-01-05 |
| 1023175668 | Nancy Saunders | Physician Assistant | 4401 Ford Ave, Suite 250, Alexandria, VA 22302-1473 | 2007-01-02 |
| 1992869689 | Northern Virginia Family Practice Associates | Family Medicine | 4401 Ford Ave, Suite 250, Alexandria, VA 22302-1473 | 2006-12-20 |
| 1518036326 | John Patrick Tokarz | Family Medicine | 4401 Ford Ave, Suite 250, Alexandria, VA 22302-1473 | 2006-11-07 |
| 1386713063 | Stephen L Cornwell | Family Medicine | 4401 Ford Ave, Suite 250, Alexandria, VA 22302-1473 | 2006-11-07 |
| 1568570208 | Commonwealth Orthopaedics & Rehabilitation PC | Orthopaedic Surgery | 4401 Ford Ave, Suite 303, Alexandria, VA 22302-1473 | 2006-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245708288 | Jessica Frances Porzel | Nurse Practitioner | 4700 King St # 100, Alexandria, VA 22302 | 2018-11-07 |
| 1649696584 | Tiffany Edwards | General Acute Care Hospital | 3430 Larchmont Avenue Apt 541, Alexandria, VA 22302 | 2014-03-17 |
| 1396051744 | Cyndi Chan Lam | Pharmacist | 3614 King Street, Alexandria, VA 22302 | 2010-08-24 |
| 1871746206 | Carol Anne Burgess | Nurse Anesthetist, Certified Registered | 4216 King St, Alexandria, VA 22302 | 2008-10-29 |
| 1497907711 | Stephen Xavier Giunta | Plastic Surgery | 4216 King Street, King Street West Office Park, Alexandria, VA 22302 | 2008-10-17 |
| 1386892800 | Dr. Catherine P. Nguyen P.C. | Dentist | 5142 Leesburg Pike, Alexandria, VA 22302 | 2008-09-09 |
| 1013172972 | Dr. Tarek Ashmawy Dds | Clinic/Center | 5136 Leesburg Pike, Chantilly, VA 22302 | 2008-07-21 |
| 1346363769 | Robert Bregman | Pediatrics | 4480 King St., Alex Health Dept, Alexandria, VA 22302 | 2007-04-09 |
| 1356460331 | Integrated Medical Care and Rehab.,pc | Physical Medicine & Rehabilitation | 4600 King Street, Suite 4r, Alexandria, VA 22302 | 2007-03-28 |
| 1205917200 | Roma White Farge | Social Worker | 2202 Minor Street, Alexandria, VA 22302 | 2006-10-17 |
| Find all providers in zip 22302 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609489483 | Thompson Md LLC | Family Medicine | 7906 Andrus Rd Ste 8, Alexandria, VA 22306-3169 | 2020-08-31 |
| 1770147597 | Winn Community Health Center, Inc. | Family Medicine | 601 Cloverleaf Blvd, Alexandria, LA 71303-3808 | 2019-04-26 |
| 1477094860 | Kwabena Bonsu Owusu-boateng | Family Medicine | 8109 Tis Well Drive, Suite 511, Alexandria, VA 22306 | 2017-03-17 |
| 1821475823 | Shrey Carpenter | Family Medicine | 3000 Potomac Ave, Alexandria, VA 22305-3084 | 2015-04-29 |
| 1104161801 | Loudoun Medical Group PC | Family Medicine | 901 N Pitt Street, Suite 150, Alexandria, VA 22314-1564 | 2012-12-06 |
| 1730423856 | Patient First Richmond Medical Group Pllc | Family Medicine | 6311 Richmond Highway, Alexandria, VA 22306 | 2012-11-15 |
| 1235484189 | Michelle R Beurlot | Family Medicine | 1587 N Bolton Ave Ste 1100, Alexandria, LA 71303-4255 | 2012-07-17 |
| 1225324775 | David Nicholas Aymond | Family Medicine | 821 Elliott Street, Alexandria, LA 71301 | 2011-06-23 |
| 1902197544 | Sofia H Qureshi | Family Medicine | 300 Commercial Circle, Alexandria, KY 41001-2107 | 2011-05-01 |
| 1215258165 | Anca I Sisu | Family Medicine | 20 S Quaker Ln Ste 220, Alexandria, VA 22314-4500 | 2010-06-15 |
| Find all providers in ALEXANDRIA | ||||
| City | ALEXANDRIA |
| Zip Code | 22302 |
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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.