DR JAMES GARDNER INTERNAL MEDICINE NPI 1013315209

NPI Information

NPI: 1013315209
Provider Name: DR JAMES GARDNER INTERNAL MEDICINE
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
1133 COLLEGE AVE
SUITE D200
MANHATTAN, KS
ZIP 66502
Phone: (785) 537-4940
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DR JAMES GARDNER INTERNAL MEDICINE is a primary care clinic center in Manhattan, KS. DR JAMES GARDNER INTERNAL MEDICINE NPI is 1013315209. The provider is registered as an organization entity type.

The provider's business location address is:

1133 COLLEGE AVE
SUITE D200
MANHATTAN, KS
ZIP 66502-770
Phone: (785) 537-4940
Fax: (785) 537-0836

The provider's authorized official is James Dixon Gardner .
The authorized official title is Ceo and has the following contact phone number (785) 537-4940.

The enumeration date for this NPI number is 12/20/2014 and was last updated on 12/20/2014.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	0416479	KANSAS	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	B69282	MEDICARE UPIN	KANSAS
2	1497718092	OTHER	KANSAS	PHYSICIAN NPI NUMBER
3	480839957	OTHER	KANSAS	OLD TAX ID FROM OLD PRACTICE ENDED 12/31/2014

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

NPI Synchronization or Removal

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