Active NPI
Michael R Gartner, MD
- Emergency Medicine Physician
- Mankato, MN
National Provider Identifier
1205835469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 56163
- Practice address
- Mayo Clinic Health System
1025
Mankato, MN 56001-5600 - Phone
- (507) 624-4031
- Fax
- (507) 624-4031
- NPI assigned
- Jul 20, 2005
- Last updated
- Jun 11, 2019
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 051637 | MI | |
| Emergency Medicine Physician | 207P00000X | 56163 | MN | Primary |
| Family Medicine Physician | 207Q00000X | 4301051637 | MI | |
| Family Medicine Physician | 207Q00000X | 432455 | KS |
Addresses
Primary practice location
Mayo Clinic Health System
1025
Mankato, MN 56001-5600
Mailing address
Mayo Clinic Health System
1025 Marsh St
Mankato, MN 56001
Phone (507) 625-4031
Other practice location 1
550 N Hillside St
Wichita, KS 67214-4910
Phone (316) 962-2239
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051637 | MI | MD | Emergency Medicine Physician |
| 432455 | KS | MD | Family Medicine Physician |
| 4301051637 | MI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Runway Emergency Physicians LLC | Emergency Medicine | Past | Accepting new patients |
| Thunder Bay Emergency Physicians PC | Emergency Medicine | Past | Accepting new patients |
| Emergency Services, PA | Emergency Medicine | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medicine Physician
- Wichita, KS
- NPI 1629028881
-
- Emergency Medicine Physician
- Wichita, KS
- NPI 1063751352
-
- Emergency Medicine Physician
- Alpena, MI
- NPI 1174526594
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560211200000",
"number": "1205835469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "MAYO CLINIC HEALTH SYSTEM",
"address_2": "1025 MARSH ST",
"city": "MANKATO",
"state": "MN",
"postal_code": "56001",
"telephone_number": "507-625-4031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MAYO CLINIC HEALTH SYSTEM",
"address_2": "1025",
"city": "MANKATO",
"state": "MN",
"postal_code": "560015600",
"telephone_number": "507-624-4031",
"fax_number": "507-624-4031"
}
],
"practiceLocations": [
{
"address_1": "550 N Hillside St",
"address_purpose": "LOCATION",
"city": "Wichita",
"state": "KS",
"postal_code": "672144910",
"country_code": "US",
"telephone_number": "316-962-2239",
"fax_number": "316-962-2668",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GARTNER",
"first_name": "MICHAEL",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-20",
"last_updated": "2019-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MI",
"license": "051637",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MN",
"license": "56163",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "4301051637",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KS",
"license": "432455",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mankato, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.