Active NPI
Timothy L. Gardner,DPM
- Foot Surgery Podiatrist
- Knoxville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot Surgery Podiatrist
- License
- DPM409
- Legal business name
- TIMOTHY L. GARDNER,DPM
- Practice address
- 10810 Parkside Dr Ste 202
Knoxville, TN 37934-1981 - Phone
- (865) 218-7474
- Fax
- (865) 218-7475
- NPI assigned
- Aug 27, 2007
- Last updated
- Jun 18, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Timothy Logan Gardner, DPM
- Title
- President
- Phone
- (865) 218-7474
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot Surgery Podiatrist | 213ES0131X | DPM409 | TN | Primary |
Addresses
Primary practice location
10810 Parkside Dr Ste 202
Knoxville, TN 37934-1981
Mailing address
10810 Parkside Dr Ste 202
Knoxville, TN 37934-1981
Phone (865) 218-7474
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3351921 | Medicaid | TN | |
| 0191729 | Other | TN | BCBS |
National Provider Directory
National Provider DirectoryLocations
10810 Parkside Dr
Ste 202
Knoxville, TN 37934
Phone (865) 218-7474
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Podiatrist
- Knoxville, TN
- NPI 1841249224
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188172800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213747200000",
"number": "1417140070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10810 PARKSIDE DR STE 202",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379341981",
"telephone_number": "865-218-7474",
"fax_number": "865-218-7475"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10810 PARKSIDE DR STE 202",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379341981",
"telephone_number": "865-218-7474",
"fax_number": "865-218-7475"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TIMOTHY L. GARDNER,DPM",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-27",
"last_updated": "2008-06-18",
"status": "A",
"authorized_official_last_name": "GARDNER",
"authorized_official_first_name": "TIMOTHY",
"authorized_official_middle_name": "LOGAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "865-218-7474",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213ES0131X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot Surgery",
"state": "TN",
"license": "DPM409",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3351921",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0191729",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.