Aaron Howard Gardner, M.D.

Primary specialty

Pediatric Critical Care Medicine PhysicianTaxonomy code 2080P0203X

License

M-12472 Issued in ID

Practice address

3100 Channing Way
Idaho Falls, ID 83404-7533

Phone

(208) 535-4591

NPI assigned

May 10, 2007

Last updated

Aug 26, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Just 4 Kids Home Health

  • Home Health Agency
  • Idaho Falls, ID
  • NPI 1396372041
  NPD Authorized official
• Just 4 Kids Home Health

  • Nursing Care Agency
  • Idaho Falls, ID
  • NPI 1558939033
  NPD Authorized official
• Just 4 Kids Hospice LLC

  • Community Based Hospice Care Agency
  • Idaho Falls, ID
  • NPI 1306473277
  NPD Authorized official
• Just 4 Kids Health LLC

  dba Just 4 Kids Urgent Care

  • Urgent Care Clinic/Center
  • Idaho Falls, ID
  • NPI 1043722259

  Pediatrics

  NPD (past) Authorized official
• Just 4 Kids Health LLC

  dba Just 4 Kids Primary Care

  • Pediatrics Physician
  • Rexburg, ID
  • NPI 1083338651
  NPD (past) Authorized official

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598400000000",
    "number": "1487868311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3320 S 25TH E",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834044606",
            "telephone_number": "208-656-1500",
            "fax_number": "208-656-1502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 CHANNING WAY",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834047533",
            "telephone_number": "208-535-4591"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3320 S 25th E",
            "address_purpose": "LOCATION",
            "city": "Idaho Falls",
            "state": "ID",
            "postal_code": "834044606",
            "country_code": "US",
            "telephone_number": "801-360-8725",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "AARON",
        "middle_name": "HOWARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-10",
        "last_updated": "2020-08-26",
        "certification_date": "2020-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "ID",
            "license": "M-12472",
            "primary": false
        },
        {
            "code": "2080P0203X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "ID",
            "license": "M-12472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathy Gammon, RPT,P.A.
• Stanford Benjamin Gammon, P.A.
• Alexsys Garcia
• George M Garcia, MD
• Kenisha Garcia, LMSW
• Andrea Beth Gardner, PA-C
• Bradley P Gardner, MD
• James Criddle Gardner, D.C.
• Lee S Gardner, P.A.-C
• Philip Edward Gardner, BS

• Pediatric Critical Care Medicine Physician in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Pediatric Critical Care Medicine Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2020; 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.