ABIGAIL B. GARDNER (NPI# 1962768366) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962768366 |
| Entity Type | Individual |
| Full Name | ABIGAIL B. GARDNER |
| Credential | PA-C |
| Practice Address |
9880 Angies Way Ste 250 Louisville KY 40241-2865 |
| Mailing Address |
Po Box 766351 Chicago IL 60677-6351 |
| Practice Telephone | 5023946341 |
| Practice Fax Number | 5023946340 |
| Mailing Telephone | (502) 588-9490 |
| Mailing Fax Number | 5022725116 |
| Enumeration Date | 2012-04-10 |
| Last Update Date | 2017-07-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA1708 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | TC095 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | SIHO - NOTC | 135234 | 01 |
| KY | PASSPORT - NOTC | 50040098 | 01 |
| KY | MEDICARE - RR | P01205327 | 01 |
| KY | ANTHEM - NOS | 000000759487 | 01 |
| KY | 7100205790 | 05 |
| Street Address |
9880 ANGIES WAY STE 250 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40241-2865 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467590190 | Ryan Jeffrey Krupp | Orthopaedic Surgery | 9880 Angies Way Ste 250, Louisville, KY 40241-2865 | 2007-02-02 |
| 1194224048 | Molly Roberson | Physician Assistant | 9880 Angies Way Ste 250, Louisville, KY 40241-2865 | 2018-02-06 |
| 1326422171 | Robert Shelley Jr. | Orthopaedic Surgery | 9880 Angies Way Ste 250, Louisville, KY 40241-2865 | 2015-07-10 |
| 1912391053 | Jonathan David Gillig | Orthopaedic Surgery | 9880 Angies Way Ste 250, Louisville, KY 40241-2865 | 2015-03-26 |
| 1316365653 | Kevin Himschoot | Orthopaedic Surgery | 9880 Angies Way Ste 250, Louisville, KY 40241-2865 | 2014-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164033353 | Tyler Roberts | Physician Assistant | Private, Louisville, KY 40241 | 2020-08-12 |
| 1639636988 | Paladina Health, LLC | Family Medicine | Paladina Health Louisville Park Plaza, 9720 Park Plaza Avenue #101, Louisville, KY 40241 | 2019-02-22 |
| 1164990396 | Tiffany Elizabeth Gallucci | Nurse Practitioner | 4915 Norton Healthcare Boulevard, Louisville, KS 40241 | 2018-11-06 |
| 1952876146 | Ashley Lynne Johnson Belcher | Psychologist | 9700 Park Plaza Avenue, Ste. 106, Louisville, KY 40241 | 2018-10-04 |
| 1265935977 | Family Podiatry Center Pllc | Podiatrist | 9850 Von Allmen Ct, Louisville, KY 40241 | 2018-03-09 |
| 1346767472 | Bridgett Lin Youngblood | Case Manager/Care Coordinator | 4313 Brownsboro Glen Rd, Louisville, KY 40241 | 2017-08-29 |
| 1518375690 | Amir Shahla | Dentist | 10500 Fischer Park Dr, Louisville, KY 40241 | 2014-08-01 |
| 1255741781 | Alicia M Durham | Marriage & Family Therapist | 3900 Riveroaks Ln, Louisville, KY 40241 | 2014-05-06 |
| 1962826719 | Applied Behavioral Consulting, LLC | Community/Behavioral Health | 4517 Shenandoah Drive, Louisville, KY 40241 | 2014-02-14 |
| 1336579176 | Nicholas Weickel | Physical Therapist | 9880 Angie's Way, Suite 100, Louisville, KY 40241 | 2013-11-14 |
| Find all providers in zip 40241 | ||||
| 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 |
|---|---|---|---|---|
| 1184225591 | Alexis Garrett | Physician Assistant | 16993 Green Crest Ln, Louisville, KY 40245-3217 | 2020-11-03 |
| 1164033353 | Tyler Roberts | Physician Assistant | Private, Louisville, KY 40241 | 2020-08-12 |
| 1184247231 | Jeremiah Noe | Physician Assistant | 3999 Dutchmans Ln Ste 2e, Louisville, KY 40207-4748 | 2020-05-23 |
| 1598388894 | Amanda Marie Hafner | Physician Assistant | 200 E Chestnut St Bldg Suite300, Louisville, KY 40202-1831 | 2020-05-20 |
| 1205487170 | Kenneth D Morrison | Physician Assistant | 9300 Stonestreet Rd Ste 200, Louisville, KY 40272-2894 | 2019-09-23 |
| 1518515444 | William Wilson | Physician Assistant | 1037 E Caldwell St, Louisville, KY 40204-1857 | 2019-09-04 |
| 1760955546 | Benjamin Charles Askins | Physician Assistant | 7906 New La Grange Rd, Louisville, KY 40222-4718 | 2019-01-04 |
| 1770066292 | Molly Roberson Comprehensive Surgical Assistance Pllc | Physician Assistant | 1064 Eastern Pkwy, Louisville, KY 40217-1532 | 2018-09-11 |
| 1598246860 | Kelsi J Barnes | Physician Assistant | 13151 Magisterial Dr # 200, Louisville, KY 40223-4103 | 2018-08-24 |
| 1174009930 | Faun Ellwood-digel | Physician Assistant | 275 W Walnut St, Louisville, CO 80027-2295 | 2018-07-16 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40241 |
Please comment or provide details below to improve the information on ABIGAIL B. GARDNER.
| 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.