Charles J Gardner (NPI# 1720417090, PAC ID# 6709014723) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1720417090 |
| PAC ID by PECOS | 6709014723 |
| Professional Enrollment ID | I20140118000386 |
| Full Name | Charles J Gardner |
| Organization Legal Name | EATON RAPIDS MEDICAL CENTER |
| Address |
1500 S Main St Eaton Rapids MI 48827-1952 |
| Gender | M |
| Graduation Year | 2013 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 5991692634 |
| Number of Group Practice Members | 18 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 231324 | EATON RAPIDS MEDICAL CENTER |
| 230167 | MCLAREN GREATER LANSING |
| Address | Phone | Organization |
|---|---|---|
| 1500 S Main St, Eaton Rapids, MI 48827-1952 | EATON RAPIDS MEDICAL CENTER | |
| 2727 S Pennsylvania Ave, Lansing, MI 48910-3488 | 5179756000 | CAPITAL AREA ANESTHESIA PC |
| 401 W Greenlawn Ave, Lansing, MI 48910-2819 | 5179756000 | CAPITAL AREA ANESTHESIA PC |
| 405 W Greenlawn Ave, Suite 106, Lansing, MI 48910-2889 | 5174822118 | CAPITAL AREA ANESTHESIA PC |
| 400 E Main St, Suite 200, Springport, MI 49284-9774 | 5178574500 | EATON RAPIDS MEDICAL CENTER |
| Organization Legal Name | EATON RAPIDS MEDICAL CENTER |
| Physicians | 16 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Larry J Lutz | Certified Registered Nurse Anesthetist (crna) | Eaton Rapids Medical Center | 1500 S Main St, Eaton Rapids, MI 48827-1952 |
| Tara K Calabro | Clinical Social Worker | Eaton Rapids Medical Center | 1500 S Main St, Eaton Rapids, MI 48827-1952 |
| Sarah T Wright | Nurse Practitioner | Eaton Rapids Medical Center | 1500 S Main St, Eaton Rapids, MI 48827-1952 |
| Julia A Maraskine | Clinical Social Worker | Eaton Rapids Medical Center | 1500 S Main St, Eaton Rapids, MI 48827-1952 |
| Cosette C Weaver | Clinical Social Worker | Eaton Rapids Medical Center | 1500 S Main St, Eaton Rapids, MI 48827-1952 |
| Pauline K Ashton | Nurse Practitioner | Eaton Rapids Medical Center | 1500 S Main St, Eaton Rapids, MI 48827-1952 |
| Andrea R Perry | Nurse Practitioner | Eaton Rapids Medical Center | 1500 S Main St, Eaton Rapids, MI 48827-1952 |
| Kerry Lynn Bartley | Nurse Practitioner | Eaton Rapids Medical Center | 1500 S Main St, Eaton Rapids, MI 48827-1952 |
| Roohi Kahlon | Family Medicine | Eaton Rapids Medical Center | 1500 S Main St, Eaton Rapids, MI 48827-1952 |
| Anne C Khol | Nurse Practitioner | Eaton Rapids Medical Center | 1500 S Main St, Eaton Rapids, MI 48827-1952 |
| Street Address |
1500 S MAIN ST |
| City | EATON RAPIDS |
| State | MI |
| Zip | 48827-1952 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ali H Sheikh | Cardiovascular Disease (cardiology) | Edward W Sparrow Hospital Association | 1500 S Main St, Thoracic and Cardiovascular Institute, Eaton Rapids, MI 48827-1952 |
| Craig E Pannell | Nurse Practitioner | My Health My Resources of Tarrant County | 1500 S Main St, Fort Worth, TX 76104-4917 |
| Leonard D Morgan | Anesthesiology | Sheridan Healthcare of North Texas Pa | 1500 S Main St, Fort Worth, TX 76104-4917 |
| Larry J Lutz | Certified Registered Nurse Anesthetist (crna) | Eaton Rapids Medical Center | 1500 S Main St, Eaton Rapids, MI 48827-1952 |
| Dongkun J Chang | Pathology | Propath Associates Pllc | 1500 S Main St, Fort Worth, TX 76104-4917 |
| Dayakar Kancherla | Hospitalist | Hospitalist Medicine Physicians of Texas Pllc | 1500 S Main St, John Peter Smith Hospital, Fort Worth, TX 76104-4917 |
| Sudhir N. Bolar | Anesthesiology | Sheridan Healthcare of North Texas Pa | 1500 S Main St, Fort Worth, TX 76104-4917 |
| Nicholas Minh Vuong | Anesthesiology | Sheridan Healthcare of North Texas Pa | 1500 S Main St, Fort Worth, TX 76104-4917 |
| Akwaugo Thelma Uzoegwu | Internal Medicine | Hospitalist Medicine Physicians of Texas Pllc | 1500 S Main St, John Peter Smith Hospital, Fort Worth, TX 76104-4917 |
| Pavithra Giri Chandra Reddy | Internal Medicine | Hospitalist Medicine Physicians of Texas Pllc | 1500 S Main St, John Peter Smith Hospital, Fort Worth, TX 76104-4917 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kyle R Booher | Optometry | Eaton Rapids Eye Care PC | 136 S Main St, Eaton Rapids, MI 48827-1068 |
| Nicole Sparks | Optometry | Eaton Rapids Eye Care PC | 136 S Main St, Eaton Rapids, MI 48827-1068 |
| Susan L Courtnage | Internal Medicine | Susan L. Courtnage, Md, PC | 101e Spicerville Hwy, Suite 100, Eaton Rapids, MI 48827-1919 |
| Thomas A Kelly | General Practice | 1500 S Main St, Family Care Center, Eaton Rapids, MI 48827-1919 | |
| Joseph John Sheneman | Chiropractic | 1322 S Main St, Eaton Rapids, MI 48827-1921 | |
| Diann Gail Parker | Chiropractic | 1322 S Main St, Eaton Rapids, MI 48827-1921 | |
| Joseph P Van Ark | Family Medicine | Mclaren Greater Lansing | 301 Williams St, Eaton Rapids, MI 48827-1935 |
| Suresh Kumar Mukherji | Diagnostic Radiology | Michigan State University | 1500 S Main, Eaton Rapids, MI 48827-1952 |
| Tara K Calabro | Clinical Social Worker | Eaton Rapids Medical Center | 1500 S Main St, Eaton Rapids, MI 48827-1952 |
| Sarah T Wright | Nurse Practitioner | Eaton Rapids Medical Center | 1500 S Main St, Eaton Rapids, MI 48827-1952 |
| Find all physicians in zip 48827 | |||
| City | EATON RAPIDS |
| Zip Code | 48827 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | EATON RAPIDS + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
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| 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.