Michael Paul Gardner, M.D.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

MD22270 Issued in OR

Practice address

19260 SW 65TH Ave
Suite 400
Tualatin, OR 97062-5701

Phone

(503) 692-1200

Fax

(503) 692-1220

NPI assigned

Apr 22, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OR

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

Specialty

Urology

Education

Oregon Health Sciences University School of Medicine, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Centennial Medical Group IncGroup PAC ID 6103982962, 60 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercy Medical Center Hospital, Roseburg, OR, CCN 380027

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

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.

• Centennial Medical Group Inc.

  • Surgery Physician
  • Roseburg, OR
  • NPI 1518103274

  Urology

  Medicare reassignment Care Compare group NPD
• Michael P. Gardner, MD PC

  dba Oregon Urology Alliance

  • Urology Physician
  • Tualatin, OR
  • NPI 1437330180
  Medicare reassignment NPD
• Michael P. Gardner, MD PC

  • Clinic/Center
  • Tualatin, OR
  • NPI 1043684889
  NPD

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

• Commonspirit Oregon

  dba CHI Mercy Medical Center

  • General Acute Care Hospital
  • Roseburg, OR
  • NPI 1477590198
  Care Compare affiliation

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

{
    "created_epoch": "1145664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268092800000",
    "number": "1215993845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19260 SW 65TH AVE",
            "address_2": "SUITE 400",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970625701",
            "telephone_number": "503-692-1200",
            "fax_number": "503-692-1220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19260 SW 65TH AVE",
            "address_2": "SUITE 400",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970625701",
            "telephone_number": "503-692-1200",
            "fax_number": "503-692-1220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "MICHAEL",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-22",
        "last_updated": "2010-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "OR",
            "license": "MD22270",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OMAP NUMBER",
            "identifier": "288387",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "288387",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer S Gallardo, CPM
• Robert Luis Gallardo, (RT) R
• Amanda M. Gallegos, D.M.D.
• Benjamin Thomas Galloway, PA-C
• Daniel Fitzgerald Gardner, M.D.
• Michael G Garland, PA
• Juanita Garnow, CRNA
• Richard G. Gay, M.D.
• Barbara Elaine Gill, RDH
• Onyria Gillmor, N.D., C.P.M.

• Urology Physician in Tualatin, OR
• Providers in Tualatin, OR by specialty
• Urology Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2010; 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.

Verify at the official NPI Registry.