Active NPI
Jeff J. Gardner, H.A.S.
- Hearing Aid Equipment
- Newport, OR
National Provider Identifier
1043362221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Aid Equipment
- Practice address
- 1217 N Coast Hwy Ste D
Newport, OR 97365-2499 - Phone
- (541) 265-6273
- NPI assigned
- Jan 17, 2007
- Last updated
- Jul 8, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Aid Equipment | 332S00000X | NU | Primary | |
| Hearing Instrument Specialist | 237700000X | 404279 | OR |
Addresses
Primary practice location
1217 N Coast Hwy Ste D
Newport, OR 97365-2499
Mailing address
1217 N Coast Hwy Ste D
Newport, OR 97365-2499
Phone (541) 265-6273
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 275249 | Medicaid | OR | |
| 022742 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 404279 | OR | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coast Hearing Services | Hearing Instrument Specialist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Hearing Instrument Specialist
- Newport, OR
- NPI 1295964732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1247011200000",
"number": "1043362221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1217 N COAST HWY STE D",
"city": "NEWPORT",
"state": "OR",
"postal_code": "973652499",
"telephone_number": "541-265-6273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1217 N COAST HWY STE D",
"city": "NEWPORT",
"state": "OR",
"postal_code": "973652499",
"telephone_number": "541-265-6273"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARDNER",
"first_name": "JEFF",
"middle_name": "J.",
"name_prefix": "Mr.",
"credential": "H.A.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-17",
"last_updated": "2009-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "332S00000X",
"taxonomy_group": "",
"desc": "Hearing Aid Equipment",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "OR",
"license": "404279",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "275249",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "022742",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newport, OR
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- Ashlie Freeman, CRM-I
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- Carolyn Frances Fry, QMHP
- Norman Todd Gale, PMHNP-BC
- Christina Kay Garlinger
- Tylan Duane Geer
- Marianne Geiger, MD
- Genoa Healthcare LLC
- Jessica Nicole Gentry, CRM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.