Richard L Gardner Ii (NPI# 1194068767, PAC ID# 1850683350) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1194068767 |
| PAC ID by PECOS | 1850683350 |
| Professional Enrollment ID | I20160701000320 |
| Full Name | Richard L Gardner Ii |
| Organization Legal Name | ROGER B REED DPM PC |
| Address |
2649 W Horizon Ridge Pkwy Suite 100 Henderson NV 89052-4801 |
| Phone Number | 7025656641 |
| Gender | M |
| Graduation Year | 2013 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 2264328822 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 290045 | ST ROSE DOMINICAN HOSPITALS - SIENA CAMPUS |
| 290057 | HENDERSON HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2649 W Horizon Ridge Pkwy, Suite 100, Henderson, NV 89052-4801 | 7025656641 | ROGER B REED DPM PC |
| Organization Legal Name | ROGER B REED DPM PC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Roger B Reed | Podiatry | Roger B Reed Dpm PC | 2649 W Horizon Ridge Pkwy, Suite 100, Henderson, NV 89052-4801 |
| Jeremy Tilton | Podiatry | Roger B Reed Dpm PC | 2649 W Horizon Ridge Pkwy, Suite 100, Henderson, NV 89052-4801 |
| Street Address |
2649 W HORIZON RIDGE PKWY SUITE 100 |
| City | HENDERSON |
| State | NV |
| Zip | 89052-4801 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Roger B Reed | Podiatry | Roger B Reed Dpm PC | 2649 W Horizon Ridge Pkwy, Suite 100, Henderson, NV 89052-4801 |
| Jeremy Tilton | Podiatry | Roger B Reed Dpm PC | 2649 W Horizon Ridge Pkwy, Suite 100, Henderson, NV 89052-4801 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessila Woodson | Nurse Practitioner | Vegas Valley Primary Care | 3021 W Horizon Ridges Pkwy, Henderson, NV 89052 |
| Jayson Paulo A Agaton | Nurse Practitioner | Vegas Valley Primary Care | 3021 W Horizon Ridges Pkwy, Henderson, NV 89052 |
| Gladys G Frondarina-beltran | Nurse Practitioner | Vegas Valley Primary Care | 3021 W Horizon Ridges Pkwy, Henderson, NV 89052 |
| Elias Ugwu | Internal Medicine | Vegas Valley Primary Care | 3021 W Horizon Ridges Pkwy, Henderson, NV 89052 |
| Spencer J Quinton | Optometry | Henderson Vision Care LLC | 680 S Green Valley Pkwy, Suite 120, Henderson, NV 89052-0438 |
| Denis C Rath | Optometry | Henderson Vision Care LLC | 680 S Green Valley Pkwy, Suite 120, Henderson, NV 89052-0438 |
| Sandy Holder | Nurse Practitioner | Healthcare Partners Medical Group Coats Ltd | 745 S Green Valley Pkwy, Suite 160, Henderson, NV 89052-0439 |
| Paige M Hixson | Hospitalist | Platinum Hospitalists LLP | 9480 S Eastern Ave, Suite 262, Henderson, NV 89052-1234 |
| Leila Khalili | Internal Medicine | Platinum Hospitalists LLP | 9480 S Eastern Ave, Suite 262, Henderson, NV 89052-1234 |
| Shivanand Bomman Shivashanker | Internal Medicine | Platinum Hospitalists LLP | 9480 S Eastern Ave, Suite 262, Henderson, NV 89052-1234 |
| Find all physicians in zip 89052 | |||
| City | HENDERSON |
| Zip Code | 89052 |
| Specialty | PODIATRY |
| City + Specialty | HENDERSON + PODIATRY |
Please comment or provide details below to improve the information on Richard L Gardner Ii.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.