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DR. SCOTT ALLAN GARDNER M.D. NPI 1568458701


NPI Information

NPI: 1568458701
Provider Name: DR. SCOTT ALLAN GARDNER, M.D.
Classification: Surgery - 208600000X
Entity Type: Individual
Address:
2315 8TH ST
LEWISTON, ID
ZIP 83501
Phone: (208) 298-9030
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DR. Scott Allan Gardner, M.D. is a surgery in Lewiston, ID. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. DR. Scott Allan Gardner, M.D. NPI is 1568458701. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2315 8TH ST
LEWISTON, ID
ZIP 83501-301
Phone: (208) 298-9030

The enumeration date for this NPI number is 9/22/2005 and was last updated on 10/30/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208600000XSurgeryMD16480OREGONNo
2208600000XSurgeryMD00046059WASHINGTONNo
3208600000XSurgeryM9619IDAHOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10212253OTHERWASHINGTONLABOR & INDUSTRY
28861361MEDICARE PINWASHINGTON
3P00815199OTHERWASHINGTONMEDICARE RR - WA
41013432MEDICAIDWASHINGTON
5P00349485OTHERIDAHOMEDICARE -RR - IDAHO
61568458701OTHERIDAHOREGENCE BLUESHIELD OF IDAHO
776714OTHERIDAHOBLUE CROSS
8E55195MEDICARE UPINOREGON
91134119MEDICARE PINIDAHO
101134119OTHERIDAHODMERC
11012554MEDICAIDOREGON
121568458701MEDICAIDIDAHO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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