Michele Ann Gardner, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

MG055976 Issued in MI

Practice address

1542 W Maple Ave
Adrian, MI 49221-1392

Phone

(517) 266-0199

Fax

(517) 266-0196

NPI assigned

Jun 27, 2005

Sex

Female

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 MI

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209513600000",
    "number": "1346246154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 305",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492210305",
            "telephone_number": "517-266-0199",
            "fax_number": "517-266-0196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1542 W MAPLE AVE",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492211392",
            "telephone_number": "517-266-0199",
            "fax_number": "517-266-0196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "MICHELE",
        "middle_name": "ANN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-27",
        "last_updated": "2008-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MI",
            "license": "MG055976",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4530060",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1604610281",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tina R Gamble, CMA
• Irene Garcia-Solis, LPC
• Heidi Garcia, LLMSW
• Skylar Garcia, OTR/L
• Katia Gardner
• Robert Gargol, RPH
• Zariah Garnier
• Raymond Lawrence Garno, D.C.
• Hyacinth Anna Garrett-Engle
• Monica Garrison, CCC-SLP

• Specialist in Adrian, MI
• Providers in Adrian, MI by specialty
• Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.