CHRISTINA MARIE GARDNER P.A. NPI 1609839687

NPI Information

NPI: 1609839687
Provider Name: CHRISTINA MARIE GARDNER, P.A.
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
101 ELM AVE SE
ROANOKE, VA
ZIP 24013
Phone: (540) 985-8000
Get Directions

Christina Marie Gardner, P.A. is a medical physician assistant in Roanoke, VA with 19 years of experience. Christina Marie Gardner, P.A. NPI is 1609839687. 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:

101 ELM AVE SE
ROANOKE, VA
ZIP 24013-222
Phone: (540) 985-8000
Fax: (540) 981-9550

The NPI 1609839687 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 4/10/2006 and was last updated on 5/20/2008.

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	363AM0700X	Physician Assistant	Medical	0110002184	VIRGINIA	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	010211581	MEDICAID	VIRGINIA
2	010212502	MEDICAID	VIRGINIA
3	008987C51	MEDICARE PIN
4	010211590	MEDICAID	VIRGINIA
5	P00266768	OTHER		RR MEDICARE
6	P00266768	MEDICARE PIN
7	Q58287	MEDICARE UPIN

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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