Geraldine Gardner (NPI# 1033101696, PAC ID# 5597791939) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
| Nation Provider ID (NPI) | 1033101696 |
| PAC ID by PECOS | 5597791939 |
| Professional Enrollment ID | I20121220000256 |
| Full Name | Geraldine Gardner |
| Organization Legal Name | PROVIDENCE HEALTH AND SERVICES-WA |
| Address |
1321 Colby Ave Everett WA 98201-1665 |
| Phone Number | 4252612000 |
| Gender | F |
| Credential | DO |
| Medical School | COLLEGE OF OSTEO OF THE PACIFIC |
| Graduation Year | 1990 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Group Practice PAC ID | 8325100480 |
| Number of Group Practice Members | 363 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 500014 | PROVIDENCE REGIONAL MEDICAL CENTER EVERETT |
| 500003 | SKAGIT VALLEY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 12728 19th Ave Se, Suite 200, Everett, WA 98208-6526 | 4252252700 | PROVIDENCE HEALTH AND SERVICES-WA |
| 12800 Bothell Everett Hwy, Everett, WA 98208-6642 | 4253165062 | PROVIDENCE HEALTH AND SERVICES-WA |
| 12800 Bothell Everett Hwy, Suite 270, Everett, WA 98208-6644 | 4252975230 | PROVIDENCE HEALTH AND SERVICES-WA |
| 1321 Colby Ave, Everett, WA 98201-1665 | 4252612000 | PROVIDENCE HEALTH AND SERVICES-WA |
| 1330 Rockefeller Ave, Everett, WA 98201-1676 | PROVIDENCE HEALTH AND SERVICES-WA | |
| 11603 State Ave, Suite G, Marysville, WA 98271-8465 | 3606586800 | PROVIDENCE HEALTH AND SERVICES-WA |
| 19200 N Kelsey St, Monroe, WA 98272-1431 | 4253165080 | PROVIDENCE HEALTH AND SERVICES-WA |
| Organization Legal Name | PROVIDENCE HEALTH AND SERVICES-WA |
| Physicians | 421 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tasneem Abbas Shikary | Otolaryngology | Providence Health and Services-wa | 1330 Rockefeller Ave, Suite 230, Everett, WA 98201-1676 |
| Nicole Kraker | Nurse Practitioner | Providence Health and Services-wa | 10200 Mukilteo Speedway, Mukilteo, WA 98275-4743 |
| Crystal L Blankinship | Clinical Social Worker | Providence Health and Services-wa | 1830 Bickford Ave, Suite 211, Snohomish, WA 98290-1751 |
| Lorena Barajas | Nurse Practitioner | Providence Health and Services-wa | 12728 19th Ave Se, Suite 200, Everett, WA 98208-6526 |
| Kim Quy V Nguyen | Nurse Practitioner | Providence Health and Services-wa | 19200 N Kelsey St, Monroe, WA 98272-1431 |
| Marianna Baghdasaryan | Nurse Practitioner | Providence Health and Services-wa | 13110 Bothell Everett Hwy, Everett, WA 98208-7202 |
| Tina Malm | Physician Assistant | Providence Health and Services-wa | 1321 Colby Ave, Everett, WA 98201-1665 |
| David Keisho Su | Neurosurgery | Providence Health and Services-wa | 1717 13th St, Suite 401, Everett, WA 98201-1621 |
| David B Shanholtzer | Nurse Practitioner | Providence Health and Services-wa | 12800 Bothell Everett Hwy, Everett, WA 98208-6642 |
| Laura Knapp Knapp | Clinical Social Worker | Providence Health and Services-wa | 1509 California St, Everett, WA 98201-3540 |
| Street Address |
1321 COLBY AVE |
| City | EVERETT |
| State | WA |
| Zip | 98201-1665 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tina Malm | Physician Assistant | Providence Health and Services-wa | 1321 Colby Ave, Everett, WA 98201-1665 |
| Christine Welker | Physician Assistant | Providence Health and Services-wa | 1321 Colby Ave, Everett, WA 98201-1665 |
| Lindsy J Alanis | Internal Medicine | Providence Health and Services-wa | 1321 Colby Ave, Everett, WA 98201-1665 |
| Grace Erin Oppenheim | Nurse Practitioner | Providence Health and Services-wa | 1321 Colby Ave, Everett, WA 98201-1665 |
| Michael James Oliver | Physician Assistant | Western Washington Medical Group Inc Ps | 1321 Colby Ave, Everett, WA 98201-1665 |
| Karen M Tooley | Physician Assistant | Providence Health and Services-wa | 1321 Colby Ave, Everett, WA 98201-1665 |
| Ya Lan Huang | Nephrology | Western Washington Medical Group Inc Ps | 1321 Colby Ave, Everett, WA 98201-1665 |
| Karen S Hunter | General Surgery | Providence Health and Services-wa | 1321 Colby Ave, Everett, WA 98201-1665 |
| Randy Ray Graybeal | Certified Registered Nurse Anesthetist (crna) | Providence Wa Anesthesia Services, PC | 1321 Colby Ave, Everett, WA 98201-1665 |
| James P Miller | General Surgery | Providence Health and Services-wa | 1321 Colby Ave, Everett, WA 98201-1665 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Margaret J Rutherford | Nurse Practitioner | Sunrise Services, Inc. | 1021 N Broadway, Sunrise Community Mental Health, Everett, WA 98201-1405 |
| Kevin M Knack Jr. | Nurse Practitioner | Sunrise Services, Inc. | 1021 N Broadway, Sunrise Community Mental Health, Everett, WA 98201-1405 |
| Larry S Bornstein | Psychiatry | Sunrise Services, Inc. | 1021 N Broadway, Sunrise Community Mental Health, Everett, WA 98201-1405 |
| Paulette K Carter | Nurse Practitioner | Sunrise Services, Inc. | 1021 N Broadway, Sunrise Community Mental Health, Everett, WA 98201-1405 |
| Margaret M Ackerman | Nurse Practitioner | Sunrise Services, Inc. | 1021 N Broadway, Sunrise Community Mental Health, Everett, WA 98201-1405 |
| Nikki L Behner | Nurse Practitioner | Sunrise Services, Inc. | 1021 N Broadway, Sunrise Community Mental Health, Everett, WA 98201-1405 |
| David Gordon | Family Medicine | Community Health Center of Snohomish County | 930 N Broadway, Everett, WA 98201-1409 |
| Yuanzhi Angela Li | Family Medicine | Community Health Center of Snohomish County | 930 N Broadway, Everett, WA 98201-1409 |
| Alan O Haakenstad | Nephrology | Community Health Center of Snohomish County | 930 N Broadway, Everett, WA 98201-1409 |
| Lavonne M Searle | Nurse Practitioner | Community Health Center of Snohomish County | 930 N Broadway, Everett, WA 98201-1409 |
| Find all physicians in zip 98201 | |||
| City | EVERETT |
| Zip Code | 98201 |
| Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| City + Specialty | EVERETT + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
Please comment or provide details below to improve the information on Geraldine Gardner.
| 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.