Tessa Gardner, M.D.

Primary specialty

Pediatric Infectious Diseases PhysicianTaxonomy code 2080P0208X

License

R8414 Issued in MO

Practice address

7905 Blackberry Ave
Saint Louis, MO 63130-2710

Phone

(314) 727-9101

NPI assigned

Feb 27, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389139200000",
    "number": "1487781597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 300009",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631300340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7905 BLACKBERRY AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631302710",
            "telephone_number": "314-727-9101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "TESSA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2014-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0208X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Infectious Diseases",
            "state": "MO",
            "license": "R8414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morey Gardner, M.D.
• Namibia Qadir Gardner, LPN
• Rebecca Ella Gardner, NP-C
• Rita Gardner, ANP
• Sandra Yvonne Gardner
• Tatiana Garfias
• Ayushi Garg
• Thomas Edward Gargiula, D.C.
• Sanjana Garimella, MD
• Jared S Garland, MD

• Pediatric Infectious Diseases Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Pediatric Infectious Diseases Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.