NPIMap

Organization Active NPI

Lawrence D Gardner MD FRCS C Professional Corporation

  • Surgery Physician
  • Henderson, NV
National Provider Identifier
1063560720
Registry record updated Apr 16, 2015
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Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
2962 Issued in NV
Legal business name
LAWRENCE D GARDNER MD FRCS C PROFESSIONAL CORPORATION
Practice address
2337 Prometheus CT
Henderson, NV 89074-5339
Phone
(702) 809-2446
NPI assigned
Jan 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2015

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

Authorized official

Name
Dr. Lawrence David Gardner, M.D.
Title
President
Phone
(702) 809-2446

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 2962 NV Primary

Addresses

Primary practice location

2337 Prometheus CT
Henderson, NV 89074-5339

Mailing address

2337 Prometheus CT
Henderson, NV 89074-5339
Phone (702) 809-2446

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429142400000",
    "number": "1063560720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2337 PROMETHEUS CT",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890745339",
            "telephone_number": "702-809-2446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2337 PROMETHEUS CT",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890745339",
            "telephone_number": "702-809-2446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE D GARDNER MD FRCS C PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2015-04-16",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-809-2446",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "NV",
            "license": "2962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.