DR. ROBERT R GARDNER D.O. NPI 1780687137

NPI Information

NPI: 1780687137
Provider Name: DR. ROBERT R GARDNER, D.O.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
6542 SANDPEBBLE CT
ENGLEWOOD, OH
ZIP 45322
Phone: (937) 832-1862
Get Directions

DR. Robert R Gardner, D.O. is a family medicine in Englewood, OH. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Robert R Gardner, D.O. NPI is 1780687137. 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:

6542 SANDPEBBLE CT
ENGLEWOOD, OH
ZIP 45322-626
Phone: (937) 832-1862
Fax: (937) 656-1347

The NPI 1780687137 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 5/31/2005 and was last updated on 3/17/2018.

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	207Q00000X	Family Medicine		34003219G	OHIO	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	0122480	OTHER	OHIO	UNITED HEALTHCARE
2	421534506032	OTHER	OHIO	CARESOURCE
3	000000390155	OTHER	OHIO	UNICARE
4	642249	OTHER	OHIO	AETNA
5	000000390155	OTHER	OHIO	ANTHEM
6	24754	OTHER	OHIO	NATIONWIDE HEALTH PLAN
7	34003219	OTHER	OHIO	MEDICAL LICENSE
8	0500765	MEDICAID	OHIO
9	080191717	OTHER	OHIO	RAILROAD MEDICARE
10	D0321904	OTHER	OHIO	HUMANA/CHOICECARE

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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