Robert Anthony Gardner, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD2005-0514 Issued in NM

Practice address

2410 19TH St SE
Rio Rancho, NM 87124-4857

Phone

(505) 452-4200

Fax

(505) 452-4201

NPI assigned

Aug 18, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NM, GU2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Ipc Hospitalists of New Mexico, Inc

  • Internal Medicine Physician
  • Albuquerque, NM
  • NPI 1578839163

  Family Medicine

  Medicare reassignment NPD
• General Conference Corp of Sda

  • Clinic/Center
  • Tamuning, GU
  • NPI 1275586877
  Medicare reassignment NPD

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523232000000",
    "number": "1194717801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "REGIONAL ADMIN OFFICE",
            "address_2": "3411 N 5TH AVE., STE. 209",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850133812",
            "telephone_number": "602-789-0344",
            "fax_number": "602-789-8389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 19TH ST SE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871244857",
            "telephone_number": "505-452-4200",
            "fax_number": "505-452-4201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "ROBERT",
        "middle_name": "ANTHONY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-18",
        "last_updated": "2018-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NM",
            "license": "MD2005-0514",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "329525",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Salvador Ricardo Garcia, MD
• Samantha Garcia
• Virginia Garcia
• Nina Garde, RN
• Lavonne Elaine Gardner
• Tera Gardner, CNP
• Tamara K Garlington, LMSW
• Garner Chiropractic, P.C.
• Ashli J Garner
• Curtis Len Garner, DC

• Internal Medicine Physician in Rio Rancho, NM
• Providers in Rio Rancho, NM by specialty
• Internal Medicine Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.