Organization Active NPI

Karen Gardner DO PLLC

  • Internal Medicine Physician
  • Bryn Mawr, PA
National Provider Identifier
1346051125
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
KAREN GARDNER DO PLLC
Practice address
234 S Bryn Mawr Ave Ste 101
Bryn Mawr, PA 19010-2133
Phone
(484) 414-4136
Fax
(833) 428-6673
NPI assigned
Jan 20, 2025
Last updated
Jan 23, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

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

Authorized official

Name
Dr. Karen Lynne Gardner, DONPI 1205888021
Title
Physician
Phone
(610) 416-7040

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

234 S Bryn Mawr Ave Ste 101
Bryn Mawr, PA 19010-2133

Mailing address

234 S Bryn Mawr Ave Ste 101
Bryn Mawr, PA 19010-2133
Phone (484) 414-4136

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250723000015 PA Part B Supplier - Clinic/Group Practice 3476069881 Receives reassigned benefits from 2 practitioners
Practice locations: Bryn Mawr, PA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D2329126Karen Gardner DO234 S Bryn Mawr Ave, Ste 101, Bryn Mawr, PA 19010Certificate of waiverAug 21, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1737331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737590400000",
    "number": "1346051125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 S BRYN MAWR AVE STE 101",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190102133",
            "telephone_number": "484-414-4136",
            "fax_number": "833-428-6673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 S BRYN MAWR AVE STE 101",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190102133",
            "telephone_number": "484-414-4136",
            "fax_number": "833-428-6673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAREN GARDNER DO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-20",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "LYNNE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "610-416-7040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryn Mawr, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.