Active NPI
Heather Holder Gardow, MD
- Obstetrics & Gynecology Physician
- Mansfield, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- N7798
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 283385704 | Medicaid | TX | |
| P01087774 | Other | TX | RAILROAD MEDICARE |
| 283385703 | Medicaid | TX |
Other names 1
- Heather Michelle Holder
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
Enrollment records 1
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
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N7798 | TX | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medhealth | Current | Accepting new patients | |
| Medical Clinic of North Texas PLLC | Current | Accepting new patients | |
| Medhealth | Current | Accepting new patients | |
| Medical Clinic of North Texas, PLLC | Obstetrics & Gynecology | Current | 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
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- 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.
-
- Family Medicine Physician
- Dallas, TX
- NPI 1912957200
-
- Internal Medicine Physician
- Arlington, TX
- NPI 1033167234
Obstetrics & Gynecology
-
- Urgent Care Clinic/Center
- Grand Prairie, TX
- NPI 1558762690
-
- Radiation Oncology Clinic/Center
- Arlington, TX
- NPI 1184131625
-
- General Acute Care Hospital
- Mansfield, TX
- NPI 1689629941
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Mansfield, TX
- NPI 1689629941
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.