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DR. STEPHANIE M GARDNER MD NPI 1538480777


NPI Information

NPI: 1538480777
Provider Name: DR. STEPHANIE M GARDNER, MD
Classification: Emergency Medicine - 207P00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
5262 CARROLLTON AVE
INDIANAPOLIS, IN
ZIP 46220
Phone: (210) 241-0651
Get Directions

DR. Stephanie M Gardner, MD is an emergency medicine in Indianapolis, IN. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. DR. Stephanie M Gardner, MD NPI is 1538480777. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5262 CARROLLTON AVE
INDIANAPOLIS, IN
ZIP 46220-181
Phone: (210) 241-0651

The NPI 1538480777 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/22/2010 and was last updated on 11/20/2014.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207P00000XEmergency Medicine01070246AINDIANAYes
2390200000XStudent in an Organized Health Care Education/Training Program11015553AINDIANANo
3390200000XStudent in an Organized Health Care Education/Training Program01070246AINDIANANo

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
1P01366963OTHERINDIANARAILROAD MEDICARE
2629770003MEDICARE PININDIANA
3M400074923MEDICARE PININDIANA
4201075650MEDICAIDINDIANA
5037870003MEDICARE PININDIANA
6259240004MEDICARE PININDIANA
7232650003MEDICARE PININDIANA
8P01137553MEDICARE PININDIANA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.