Individual provider Active NPI

Heather Holder Gardow, MD

  • Obstetrics & Gynecology Physician
  • Mansfield, TX
National Provider Identifier
1154521029
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
N7798 Issued in TX
Practice address
2800 E Broad St Ste 100
Mansfield, TX 76063-6410
Phone
(682) 518-1035
Fax
(682) 518-1045
NPI assigned
Jul 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X N7798 TX Primary

Addresses

Primary practice location

2800 E Broad St Ste 100
Mansfield, TX 76063-6410

Mailing address

2800 E Broad St Ste 100
Mansfield, TX 76063-6410
Phone (682) 518-1035

Other identifiers 3

IdentifierTypeStateIssuer
283385704MedicaidTX
P01087774OtherTXRAILROAD MEDICARE
283385703MedicaidTX

Other names 1

  • Heather Michelle Holder Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110906000472 TX Practitioner - Obstetrics/Gynecology 3971773789 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Texas Tech University Health Science Center School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MedhealthGroup PAC ID 9931001567, 435 clinicians

Practice addresses (Care Compare)

2800 E Broad St
Suite 100
Mansfield, TX 76063-6410
Phone (682) 518-1035

Hospital & facility affiliations

  • Methodist Mansfield Medical Center Hospital, Mansfield, TX, CCN 670023

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
N7798TXMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medhealth CurrentSince Jan 1, 2024 Accepting new patients
Medical Clinic of North Texas PLLC CurrentSince Aug 13, 2012 Accepting new patients
Medhealth CurrentSince Jan 1, 2024 Accepting new patients
Medical Clinic of North Texas, PLLC Obstetrics & Gynecology CurrentSince Aug 13, 2012 Accepting new patients
Methodist Hospitals of Dallas Past Accepting new patients

Locations

809 W Randol Mill Rd
Arlington, TX 76012
Phone (817) 277-7133

811 W Interstate 20
Ste 218
Arlington, TX 76017
Phone (817) 277-7133

515 W Mayfield Rd
Ste 201
Arlington, TX 76014
Phone (817) 277-7133

1441 N Beckley Ave
Dallas, TX 75203
Phone (214) 712-2429

5224 S State Highway 360
Grand Prairie, TX 75052
Phone (972) 522-0691

900 Airport Fwy
Ste 158
Hurst, TX 76054
Phone (817) 514-4000

2800 E Broad St
Ste 100
Mansfield, TX 76063
Phone (682) 518-1035

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: hgardow36041@dm.mhd.com

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1154521029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 E BROAD ST STE 100",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760636410",
            "telephone_number": "682-518-1035",
            "fax_number": "682-518-1045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 E BROAD ST STE 100",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760636410",
            "telephone_number": "682-518-1035",
            "fax_number": "682-518-1045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDOW",
        "first_name": "HEATHER",
        "middle_name": "HOLDER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-19",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "N7798",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "283385704",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01087774",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "283385703",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "HOLDER",
            "middle_name": "MICHELLE",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mansfield, TX

Sources for this page

Verify at the official NPI Registry.