MR. MARK GARDNER (NPI# 1891797247) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891797247 |
| Entity Type | Individual |
| Full Name | MR. MARK GARDNER |
| Credential | PA-C |
| Practice Address |
812 Miller Ave Suite C Sunnyside WA 98944-2374 |
| Practice Telephone | 5098377551 |
| Mailing Telephone | 5098377551 |
| Enumeration Date | 2005-08-15 |
| Last Update Date | 2009-10-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 53333582 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750908265 | Mark Gardner | Pharmacist | 125 Water St, Newton, NJ 07860-1420 | 2020-06-30 |
| 1114055787 | Mark R Gardner | Internal Medicine | 4321 Fir St Ste 313, East Chicago, IN 46312-3049 | 2007-03-02 |
| 1073604112 | Mark Steven Gardner | Social Worker | 1319 Vincent Pl, Mc Lean, VA 22101-3615 | 2006-09-27 |
| 1619938370 | Mark William Gardner | Dentist | 1239 State Road 229, Batesville, IN 47006-6804 | 2006-03-31 |
| 1336131473 | Mark A Gardner | Podiatrist | 453 Mclaws Cir, Suite 1, Williamsburg, VA 23185-5645 | 2005-08-16 |
| 1770132623 | Mark Edward Gardner | Counselor | 101 East Avenue, Erie, PA 16507 | 2019-09-04 |
| 1396279949 | Mark Gardner | Dentist | 1250 E Marshall St, Richmond, VA 23298-5051 | 2017-04-19 |
| 1225432354 | Mark Owen Gardner | Occupational Therapist | 505 E 3rd Ave Ste B, Spokane, WA 99202-1426 | 2014-10-17 |
| 1134531858 | Mark S Gardner | Chiropractor | 14000 Se Johnson Rd, Milwaukie, OR 97267-2316 | 2014-05-29 |
| 1467766022 | Mark Gardner | Orthopaedic Surgery | 1599 N Hermitage Rd, Hermitage, PA 16148-3180 | 2010-08-05 |
| Street Address |
812 MILLER AVE SUITE C |
| City | SUNNYSIDE |
| State | WA |
| Zip Code | 98944-2374 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669918405 | Sunnyside Home Health | Home Health | 812 Miller Ave, Suite A, Sunnyside, WA 98944-2374 | 2017-01-18 |
| 1871986455 | Sunnyside Community Hospital Association | Internal Medicine | 812 Miller Ave, Sunnyside, WA 98944-2374 | 2015-03-06 |
| 1962414326 | Anne Marguerite Nealen | Pediatrics | 812 Miller Ave, Suite C, Sunnyside, WA 98944-2124 | 2006-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376000463 | Paul Lobaugh | Specialist/Technologist, Other | Astia Sunnyside Hospital, 1016 Tacoma Avenue, Sunnyside, WA 98944 | 2019-02-25 |
| 1346723798 | Robert N Lewis | Counselor | 702 Franklin, Sunnyside, WA 98944 | 2018-09-12 |
| 1235678533 | Barbara Smail | Counselor | 702 Franklin Ave., Sunnyside, WA 98944 | 2017-02-20 |
| 1861890006 | Anne Concienne | Registered Nurse | 1801 E Lincoln Ave, Sunnyside, WA 98944 | 2014-12-19 |
| 1801202809 | B Martin and G Martin Pllc | Dentist | 1719 E. Lincoln Ave., Sunnyside, WA 98944 | 2014-07-10 |
| 1861825853 | Anthony Edward Esparza Sr. | Counselor | 702 Franklin Avenue, Sunnyside, WA 98944 | 2013-08-14 |
| 1730435587 | Nathan R Watkins | Dentist | 1721 E. Lincoln Ave, Sunnyside, WA 98944 | 2012-07-31 |
| 1700188984 | David Alan Hicks | Pharmacist | 613 Sixth, Sunnyside, WA 98944 | 2010-11-22 |
| 1700194396 | Health & Wellness Alliance | Case Manager/Care Coordinator | 922 E. Edison Avenue, 922 E. Edison Ave., Sunnyside, WA 98944 | 2010-09-17 |
| 1174756803 | Navjot S. Khurana | Dentist | 110 W. Yakima Valley Hwy., Sunnyside, WA 98944 | 2009-08-28 |
| Find all providers in zip 98944 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619412350 | Manuel Jimenez I | Physician Assistant | 70 Lester Rd, Sunnyside, WA 98944-9096 | 2017-01-05 |
| 1780055699 | Julia Sungeun Byun | Physician Assistant | 4111 43rd St, Sunnyside, NY 11104-2508 | 2015-10-19 |
| 1144690405 | Matthew Watkins Lazar | Physician Assistant | 3941 50th Ave, 2nd Fl, Sunnyside, NY 11104-4108 | 2015-09-30 |
| 1376521229 | Luis Carlos Alcalde | Physician Assistant | 700 S 11th St, Sunnyside, WA 98944-2243 | 2006-01-01 |
| 1376547935 | Dale James Bingham | Physician Assistant | 331 Highway 123, Sunnyside, UT 84539 | 2005-06-10 |
| 1639719537 | Nicole Palmero | Physician Assistant | 4224 Greenpoint Ave, Sunnyside, NY 11104-3004 | 2020-01-09 |
| 1205393287 | Pine Family Inc | Physician Assistant | 2240 E Lincoln Ave, Sunnyside, WA 98944-2487 | 2019-02-26 |
| 1205318946 | Ramon Perez Jr. | Physician Assistant | 2303 Reith Way, Sunnyside, WA 98944-9521 | 2018-08-29 |
| 1770063968 | Pine Family Practice LLC | Physician Assistant | 2240 E Lincoln Ave, Sunnyside, WA 98944-2487 | 2018-08-16 |
| 1154844777 | Maricela Ramirez | Physician Assistant | 2303 Reith Way, Sunnyside, WA 98944-9521 | 2017-07-25 |
| Find all providers in SUNNYSIDE | ||||
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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.