Tressa K Gardner, DO

Primary specialty

Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X

License

5101012299 Issued in MI

Practice address

50 N Perry St
Pontiac, MI 48342-2217

Phone

(248) 338-5327

Fax

(248) 338-5129

NPI assigned

Dec 8, 2005

Last updated

Jun 2, 2009By the provider in NPPES

Sex

Female

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 MI, OH, FL3 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 3

Specialty

Emergency Medicine

Education

Michigan State University College of Osteopathic Medicine, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

McLaren Hospital GroupGroup PAC ID 2365968351, 366 clinicians

Lake Wales Emergency Physicians, LLCGroup PAC ID 8022270461, 36 clinicians

Hawk Emergency Group, P.C.Group PAC ID 6800241050, 55 clinicians

Springfield Urgent Care PLLCGroup PAC ID 3971869942, 26 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventhealth Lake Wales Hospital, Lake Wales, FL, CCN 100099
• McLaren Bay Region Hospital, Bay City, MI, CCN 230041

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tressa.gardner.1@31854.direct.athenahealth.com

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.

• Springfield Urgent Care, P.L.L.C.

  • Urgent Care Clinic/Center
  • Clarkston, MI
  • NPI 1144747460
  Medicare reassignment Care Compare group NPD Authorized official
• McLaren Hospital Group

  • Emergency Medicine Physician
  • Flint, MI
  • NPI 1942026174
  Medicare reassignment Care Compare group NPD
• Lake Wales Emergency Physicians, LLC

  • Emergency Medicine Physician
  • Lake Wales, FL
  • NPI 1033480405
  Medicare reassignment Care Compare group NPD
• Hawk Emergency Group, P.C.

  • Emergency Medicine Physician
  • Charlevoix, MI
  • NPI 1073295135
  Medicare reassignment Care Compare group
• Beacon Kalamazoo Inc

  dba Beacon Kalamazoo

  • General Acute Care Hospital
  • Kalamazoo, MI
  • NPI 1568416311
  Medicare reassignment NPD
• Degara App, PLLC

  • Emergency Medicine Physician
  • Lansing, MI
  • NPI 1265976971
  Medicare reassignment NPD
• Degara, PLLC

  • Emergency Medicine Physician
  • Pontiac, MI
  • NPI 1457589657
  Authorized official Same address or phone
• Beacon Kalamazoo Inc

  dba Beacon Kalamazoo

  • Urgent Care Clinic/Center
  • Portage, MI
  • NPI 1417130154
  NPD
• Beacon Kalamazoo Inc

  dba Beacon Kalamazoo

  • Diagnostic Radiology Physician
  • Kalamazoo, MI
  • NPI 1518753441
  NPD
• Mymichigan Medical Center Tawas

  dba Ascension St Joseph Hospital Pediatrics

  • Rural Health Clinic/Center
  • Tawas City, MI
  • NPI 1477716165
  NPD (past)
• Mymichigan Medical Center Tawas

  dba Ascension St Joseph Hospital Huron Family Medicine

  • Rural Health Clinic/Center
  • Tawas City, MI
  • NPI 1952399743
  NPD (past)

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

• McLaren Bay Region

  • General Acute Care Hospital
  • Bay City, MI
  • NPI 1528031226
  Care Compare affiliation
• Adventhealth Polk South Inc

  dba AdventHealth Lake Wales

  • General Acute Care Hospital
  • Lake Wales, FL
  • NPI 1053972760
  Care Compare affiliation

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

{
    "created_epoch": "1134000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243900800000",
    "number": "1306821756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 N PERRY ST",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483422217",
            "telephone_number": "248-338-5327",
            "fax_number": "248-338-5129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 N PERRY ST",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483422217",
            "telephone_number": "248-338-5327",
            "fax_number": "248-338-5129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "TRESSA",
        "middle_name": "K",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-08",
        "last_updated": "2009-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "MI",
            "license": "5101012299",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4091747",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dina Garcia
• Jigger Occena Garcia, NP-C
• Miguel Garcia, MD
• Olivia Garcia
• Paulina Garcia
• Garfield Johnsonjr. M.D., PC
• Eva Garg, MD
• Gayatri Garg, MD
• Radhika Garimella, MD
• Anne Marie Garlak

• Emergency Medical Services (Emergency Medicine) Physician in Pontiac, MI
• Providers in Pontiac, MI by specialty
• Emergency Medical Services (Emergency Medicine) Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2009; 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.