DR. JOHN CLAYTON GARDNER (NPI# 1982806337) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982806337 |
| Entity Type | Individual |
| Full Name | DR. JOHN CLAYTON GARDNER |
| Credential | D.O. |
| Practice Address |
1609 W 16th St Parker AZ 85344-6209 |
| Practice Telephone | 9286692832 |
| Practice Fax Number | 9286692832 |
| Mailing Telephone | 9286692832 |
| Mailing Fax Number | 9286692832 |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 202C00000X | Independent Medical Examiner | 0-39 | ID | Allopathic & Osteopathic Physicians |
| Y | 202C00000X | Independent Medical Examiner | 1444 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | PROVIDER NUMBER | 64737 | 01 |
| AZ | AOA # | 026057 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801373022 | John Gardner | Pharmacist | 1280 E Stringham Ave, Salt Lake City, UT 84106-2490 | 2018-07-20 |
| 1861850380 | John Gardner | Pharmacist | 3735 Franklin Rd Sw, Roanoke, VA 24014-2260 | 2016-01-29 |
| 1770826299 | John Anthony Gardner II | Anesthesiology | 1112 S Main St Ste 7, Franklin, KY 42134-2322 | 2013-04-03 |
| 1588977615 | John Willard Gardner | Preventive Medicine | 5805 Dimes Rd, Derwood, MD 20855-1728 | 2010-07-18 |
| 1447578026 | John Gardner | Nurse Practitioner | 44 S 29th St, Newark, OH 43055-2564 | 2010-05-06 |
| 1720120900 | John Kevin Gardner | Prosthetist | 2108 E 3rd St Ste 100, Chattanooga, TN 37404-2623 | 2007-02-13 |
| 1215083696 | John Allen Gardner | Dentist | 1316 Old 63 South, Suite 201, Columbia, MO 65201-6045 | 2007-01-26 |
| 1700942539 | John J. Gardner | Optometrist | 9400 S Roberts Rd, Hickory Hills, IL 60457-2326 | 2006-12-28 |
| 1114097581 | John D Gardner | Dentist | 1210 Ward Ave, Caruthersville, MO 63830 | 2006-11-09 |
| 1508954421 | John Wesley Gardner Iv | Registered Nurse | 1080 Marshall Way, Marshall Hospital, Placerville, CA 95667 | 2006-10-10 |
| Street Address |
1609 W 16TH ST |
| City | PARKER |
| State | AZ |
| Zip Code | 85344-6209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689156366 | Kimberly Lynnette Kirkpatrick | Pharmacist | 12033 W Agency Ave, Parker, AZ 85344 | 2018-08-30 |
| 1811419534 | Cheryl Brooks | Registered Nurse | 12033 W. Agency Ave, Parker, AZ 85344 | 2017-07-14 |
| 1356877716 | Damian Jenkins | Specialist/Technologist, Other | 1200 S Mohave Ave, Parker, AZ 85344 | 2017-05-04 |
| 1821434184 | Rio Vista Surgical Associates P.C. | Surgery | 1200 Mohave Dr, Parker, AZ 85344 | 2013-05-14 |
| 1881039600 | Juan G Lopez | Counselor | 13376 1st Ave, Parker, AZ 85344 | 2013-05-07 |
| 1942581699 | Rocky Mountain Holdings LLC | Ambulance | 913 S Ocotillo Ave, Parker, AZ 85344 | 2011-09-07 |
| 1467732271 | Adam Caton | Podiatrist | 1713 S Kofa Ave Ste K, Parker, AZ 85344 | 2011-08-24 |
| 1902137516 | Shana Lee Tackett | Student in an Organized Health Care Education/Training Program | 12330 Agency Rd, Parker Indian Health Center, Parker, AZ 85344 | 2010-01-21 |
| 1649501339 | Alice Rodriguez | Student in an Organized Health Care Education/Training Program | 12330 Agency Rd., Parker, AZ 85344 | 2010-01-20 |
| 1821328931 | Armando Sosa Jr. | Student in an Organized Health Care Education/Training Program | 12330 Agency Road, Parker, AZ 85344 | 2010-01-12 |
| Find all providers in zip 85344 | ||||
| Taxonomy Code | 202C00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Independent Medical Examiner |
| A special evaluator not involved with the medical care of the individual examinee that impartially evaluates the care being provided by other practitioners to clarify clinical, disability, liability or other case issues. |
| Notes: Source: American Board of Independent Medical Examiners, www.abime.org [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336490143 | Ronald Marvin Lampert | Independent Medical Examiner | 11811 N.n. Tatum Blvd., Suite 3031, Phoenix, AZ 85028-1621 | 2012-09-20 |
Please comment or provide details below to improve the information on DR. JOHN CLAYTON 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.