Anisah Gardiner, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

50.009433RX Issued in OH

Practice address

1213 Nilles Rd
Fairfield, OH 45014-2911

Phone

(513) 858-6900

Fax

(513) 858-6903

NPI assigned

May 5, 2025

Sex

Female

Sole proprietor

Yes

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dermatology & Surgery of Southern Ohio, Inc.

  • Dermatology Physician
  • Fairfield, OH
  • NPI 1952349466

  OH

  Medicare reassignment Care Compare group NPD

Specialty

Physician Assistant

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dermatology and Surgery of Southern Ohio, Inc. 2 clinicians

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

The complete record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1746403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773705600000",
    "number": "1033908280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1213 NILLES RD",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450142911",
            "telephone_number": "513-858-6900",
            "fax_number": "513-858-6903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 NILLES RD",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450142911",
            "telephone_number": "513-858-6900",
            "fax_number": "513-858-6903"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7132 Cincinnati Dayton Rd",
            "address_purpose": "LOCATION",
            "city": "Liberty Township",
            "state": "OH",
            "postal_code": "450691775",
            "country_code": "US",
            "telephone_number": "513-858-6900",
            "fax_number": "513-858-6903",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARDINER",
        "first_name": "ANISAH",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-05",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.009433RX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Gaddie-Thomas
• Chantia Gaines, CNP
• Jacob Gainey
• Kaitlyn Galish, MS, CCC-SLP
• Maureen Suzanne Gallagher, MD
• Selena Josephina Gardner, MHSC, RDN, LDN
• Steve Gardner, O.D.
• Gary L Glynn DPM Inc.
• Amanda Katherine Gauthier, PA-C
• Donald James Gayda, D.O.

• All providers in Fairfield, OH
• Physician Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.