Judith Ann Gardner, DO

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

OS008942L Issued in PA

Practice address

1690 Big Oak Rd
Yardley, PA 19067-6421

Phone

(215) 493-1750

Fax

(215) 493-1470

NPI assigned

Mar 7, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: judith.gardner@lbp.eclinicaldirectplus.com

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.

• Children'S Hospital of Philadelphia

  • Pediatrics Physician
  • Erdenheim, PA
  • NPI 1831262732
  NPD (past)

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334620800000",
    "number": "1124095468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1690 BIG OAK RD",
            "city": "YARDLEY",
            "state": "PA",
            "postal_code": "190676421",
            "telephone_number": "215-493-1750",
            "fax_number": "215-493-1470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1690 BIG OAK RD",
            "city": "YARDLEY",
            "state": "PA",
            "postal_code": "190676421",
            "telephone_number": "215-493-1750",
            "fax_number": "215-493-1470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "JUDITH",
        "middle_name": "ANN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-07",
        "last_updated": "2012-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "OS008942L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017159910005",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• G & P Connections 2 Wellness LLC
• Karen Joan Gagliardi, CRNP
• Mei Gao, AUD.
• Patti B Garbeil, D.O.
• Lisa Fretz Garber, CRNP
• Katherine Anne Gargiulo, M.D.
• Matthew Garnjost, DPT
• Gastrointestinal Wellness Clinic LLC
• Michelle Gates
• Mark J. Gattuso Jr.

• Pediatrics Physician in Yardley, PA
• Providers in Yardley, PA by specialty
• Pediatrics Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2012; 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.