Individual provider Active NPI

Julia C. Gardner, M.D.

  • Orthopaedic Surgery Physician
  • St Thomas, VI
National Provider Identifier
1225128689
Registry record updated Mar 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
1376 Issued in VI
Practice address
9154 Estate Thomas
Lower Level
St Thomas, VI 00802-2687
Phone
(340) 714-5400
NPI assigned
Oct 13, 2006
Last updated
Mar 28, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 1376 VI Primary

Addresses

Primary practice location

9154 Estate Thomas
Lower Level
St Thomas, VI 00802-2687

Mailing address

P.O. Box 503030
St. Thomas, VI 00805
Phone (340) 714-5400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VI
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070123000093 VI Practitioner - Orthopedic Surgery 5799786521 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
1376VIMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Orthopedics LLC CurrentSince Jun 1, 2011 Accepting new patients

Locations

9048 Sugar Est
St Thomas, VI 00802
Phone (340) 693-6211

9149 Estate Thomas
Ste 205
St Thomas, VI 00802
Phone (340) 774-5155

9151 Estate Thomas
Ste 206
St Thomas, VI 00802

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206662400000",
    "number": "1225128689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 503030",
            "city": "ST. THOMAS",
            "state": "VI",
            "postal_code": "00805",
            "telephone_number": "340-714-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9154 ESTATE THOMAS",
            "address_2": "LOWER LEVEL",
            "city": "ST THOMAS",
            "state": "VI",
            "postal_code": "008022687",
            "telephone_number": "340-714-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "JULIA",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2008-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "VI",
            "license": "1376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Thomas, VI

Sources for this page

Verify at the official NPI Registry.