Organization Active NPI

S Aurora Gardner M D LLC

  • Family Medicine Physician
  • Connersville, IN
National Provider Identifier
1154494862
Registry record updated Nov 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01041571 Issued in IN
Legal business name
S AURORA GARDNER M D LLC
Practice address
1473 E State Road 44 Ste 4
Connersville, IN 47331-8292
Phone
(765) 827-6612
Fax
(765) 827-6910
NPI assigned
Nov 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2007

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

Authorized official

Name
Dr. S. Aurora Gardner, M.D.NPI 1790768406
Title
Sole Owner
Phone
(765) 827-6612

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 01041571 IN Primary

Addresses

Primary practice location

1473 E State Road 44 Ste 4
Connersville, IN 47331-8292

Mailing address

1473 E State Road 44 Ste 4
Connersville, IN 47331-8292
Phone (765) 827-6612

Other names 1

  • S. Aurora Gardner, M.D. Other name

National Provider Directory

National Provider Directory

Locations

1473 E State Road 44
Ste 4
Connersville, IN 47331
Phone (765) 827-6612

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194912000000",
    "number": "1154494862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1473 E STATE ROAD 44 STE 4",
            "city": "CONNERSVILLE",
            "state": "IN",
            "postal_code": "473318292",
            "telephone_number": "765-827-6612",
            "fax_number": "765-827-6910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1473 E STATE ROAD 44 STE 4",
            "city": "CONNERSVILLE",
            "state": "IN",
            "postal_code": "473318292",
            "telephone_number": "765-827-6612",
            "fax_number": "765-827-6910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S AURORA GARDNER M D LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2007-11-13",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "S.",
        "authorized_official_middle_name": "AURORA",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "765-827-6612",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01041571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "S. Aurora Gardner, M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Connersville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2007; 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.