Active NPI
Michael C Gardner, MD
- Pediatric Anesthesiology Physician
- Elyria, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Anesthesiology Physician
- License
- 35.139521
- Practice address
- 860 E Broad St Ste 1
Elyria, OH 44035-6542 - Phone
- (440) 323-8515
- NPI assigned
- Apr 24, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Anesthesiology Physician | 207LP3000X | 35.139521 | OH | Primary |
| Anesthesiology Physician | 207L00000X | 35.139521 | OH |
Addresses
Primary practice location
860 E Broad St Ste 1
Elyria, OH 44035-6542
Mailing address
860 E Broad St Ste 1
Elyria, OH 44035-6542
Phone (440) 323-8515
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- George Washington University School of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
630 E River St
Elyria, OH 44035-5902
Phone (440) 323-8515
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reston Anesthesia Associates, PC | Anesthesiology | Current | Accepting new patients |
| Elyria Anesthesia Incorporated | Anesthesiology | Current | Accepting new patients |
Locations
860 E Broad St
Ste I
Elyria, OH 44035
Phone (440) 323-8458
630 E River St
Elyria, OH 44035
Phone (440) 329-7450
3700 Kolbe Rd
Lorain, OH 44053
Phone (440) 331-9520
200 W Lorain St
Oberlin, OH 44074
Phone (440) 775-1211
1850 Town Center Pkwy
Reston, VA 20190
Phone (703) 478-0922
Interoperability endpoints
- mgardner32944@ehrdirect.uhhospitals.org
- mgardner852836@direct.bsmhealth.org
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Elyria, OH
- NPI 1710922463
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Elyria, OH
- NPI 1841299039
-
- Clinical Medical Laboratory
- Lorain, OH
- NPI 1164971800
Hospital
-
- General Acute Care Hospital
- Lorain, OH
- NPI 1245274950
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696550400000",
"number": "1548528839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "860 E BROAD ST STE 1",
"city": "ELYRIA",
"state": "OH",
"postal_code": "440356542",
"telephone_number": "440-323-8515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "860 E BROAD ST STE 1",
"city": "ELYRIA",
"state": "OH",
"postal_code": "440356542",
"telephone_number": "440-323-8515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARDNER",
"first_name": "MICHAEL",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-04-24",
"last_updated": "2023-10-06",
"certification_date": "2023-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "207LP3000X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pediatric Anesthesiology",
"state": "OH",
"license": "35.139521",
"primary": true
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "OH",
"license": "35.139521",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elyria, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2023; 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.
- 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.