Active NPI
Christian Glardon, PA
- Physician Assistant
- Providence, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA01449
- Practice address
- 593 Eddy Street
Claverick 2
Providence, RI 02903 - Phone
- (401) 444-4000
- NPI assigned
- Jan 26, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 028370 | NY | |
| Physician Assistant | 363A00000X | 1877 | NH | |
| Physician Assistant | 363A00000X | PA01449 | RI | Primary |
| Physician Assistant | 363A00000X | PA9105689 | FL |
Addresses
Primary practice location
593 Eddy Street
Claverick 2
Providence, RI 02903
Mailing address
125 Whipple St Ste 3
Providence, RI 02908-3258
Other practice location 1
2626 Capital Medical Blvd
Tallahassee, FL 32308-4402
Phone (904) 332-4316
Other practice location 2
455 Toll Gate Rd
Warwick, RI 02886-2759
Phone (401) 737-7010
Other practice location 3
200 High Service Ave
North Providence, RI 02904-5113
Phone (401) 456-3000
Other practice location 4
100 Kenyon Ave
Wakefield, RI 02879-4216
Phone (401) 782-8000
Other practice location 5
825 Chalkstone Ave
Providence, RI 02908-4728
Phone (401) 456-2000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, GA, RI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
593 Eddy St
Providence, RI 02903-4923
Phone (401) 444-7024
Hospital & facility affiliations
- Rhode Island Hospital
- Newport Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.45 of 100
- Quality
- 85.46
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1877 | NH | MD | Clinical Social Worker |
| PA01449 | RI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lake Oliver Emergency Group, LLC | Emergency Medical Services | Current | Accepting new patients |
| Affinity Physicians LLC | Current | Accepting new patients | |
| Old Fields Emergency Physicians, LLC | Past | Accepting new patients | |
| Vale of Paradise Emergency Physicians, LLC | Past | Accepting new patients | |
| Quincy Creek Emergency Physicians LLC | Past | Accepting new patients |
Locations
23186 Blue Star Hwy
Quincy, FL 32351
Phone (850) 875-5977
2626 Capital Medical Blvd
Tallahassee, FL 32308
Phone (850) 325-5000
455 Toll Gate Rd
Warwick, RI 02886
Phone (401) 737-7000
Interoperability endpoints
- cglardon36343@mvhealthsystem.direct-ci.com
Organizations & group practices 12
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.
-
- General Practice Physician
- Providence, RI
- NPI 1407116643
-
- Internal Medicine Physician
- Warwick, RI
- NPI 1184944662
-
- Emergency Medicine Physician
- Providence, RI
- NPI 1962455022
-
- Emergency Medicine Physician
- North Providence, RI
- NPI 1639537335
-
- Emergency Medicine Physician
- Wakefield, RI
- NPI 1427381052
-
- Emergency Medicine Physician
- Brunswick, GA
- NPI 1477001972
-
- Emergency Medicine Physician
- Tallahassee, FL
- NPI 1013675016
-
- Anesthesiology Physician
- Providence, RI
- NPI 1053038471
-
- Emergency Medicine Physician
- Tallahassee, FL
- NPI 1548921034
Emergency Medical Services
-
- Emergency Medicine Physician
- Tallahassee, FL
- NPI 1447692926
-
- Emergency Medicine Physician
- Quincy, FL
- NPI 1730521352
-
- Emergency Medicine Physician
- Niceville, FL
- NPI 1831522614
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Newport, RI
- NPI 1457346413
-
- General Acute Care Hospital
- Providence, RI
- NPI 1588659528
-
- General Acute Care Hospital
- Providence, RI
- NPI 1972768174
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787702400000",
"number": "1184920928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 WHIPPLE ST STE 3",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029083258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "593 EDDY STREET",
"address_2": "CLAVERICK 2",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "02903",
"telephone_number": "401-444-4000"
}
],
"practiceLocations": [
{
"address_1": "2626 Capital Medical Blvd",
"address_purpose": "LOCATION",
"city": "Tallahassee",
"state": "FL",
"postal_code": "323084402",
"country_code": "US",
"telephone_number": "904-332-4316",
"fax_number": "904-332-4339",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "455 Toll Gate Rd",
"address_purpose": "LOCATION",
"city": "Warwick",
"state": "RI",
"postal_code": "028862759",
"country_code": "US",
"telephone_number": "401-737-7010",
"fax_number": "401-736-4546",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "200 High Service Ave",
"address_purpose": "LOCATION",
"city": "North Providence",
"state": "RI",
"postal_code": "029045113",
"country_code": "US",
"telephone_number": "401-456-3000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 Kenyon Ave",
"address_purpose": "LOCATION",
"city": "Wakefield",
"state": "RI",
"postal_code": "028794216",
"country_code": "US",
"telephone_number": "401-782-8000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "825 Chalkstone Ave",
"address_purpose": "LOCATION",
"city": "Providence",
"state": "RI",
"postal_code": "029084728",
"country_code": "US",
"telephone_number": "401-456-2000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GLARDON",
"first_name": "CHRISTIAN",
"name_prefix": "Mr.",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-01-26",
"last_updated": "2026-08-26",
"certification_date": "2026-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "028370",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NH",
"license": "1877",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "RI",
"license": "PA01449",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9105689",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; 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.