NPIMap

Organization Active NPI

Gardner Podiatry, Inc.

Doing business as Gardner Foot Clinic

  • Podiatrist
  • Monroe, LA
National Provider Identifier
1124268321
Registry record updated Feb 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PD221R Issued in LA
Legal business name
GARDNER PODIATRY, INC.
Doing business as
Gardner Foot Clinic
Practice address
3101 Kilpatrick Blvd
Monroe, LA 71201-5157
Phone
(318) 322-5506
Fax
(318) 322-5916
NPI assigned
Feb 27, 2009
Last updated
Feb 27, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2009

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

Authorized official

Name
Dr. David G Gardner, DPMNPI 1811965916
Title
Podiatrist
Phone
(318) 322-5506

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PD221R LA Primary

Addresses

Primary practice location

3101 Kilpatrick Blvd
Monroe, LA 71201-5157

Mailing address

3101 Kilpatrick Blvd
Monroe, LA 71201-5157
Phone (318) 322-5506

Other names 1

  • Gardner Foot Clinic Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1235692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235692800000",
    "number": "1124268321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 KILPATRICK BLVD",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712015157",
            "telephone_number": "318-322-5506",
            "fax_number": "318-322-5916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 KILPATRICK BLVD",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712015157",
            "telephone_number": "318-322-5506",
            "fax_number": "318-322-5916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDNER PODIATRY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-27",
        "last_updated": "2009-02-27",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "318-322-5506",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "LA",
            "license": "PD221R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gardner Foot Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.

Verify at the official NPI Registry.