Lawrence D Gardner, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

NV2962 Issued in NV

Practice address

2337 Prometheus CT
Henderson, NV 89074-5339

Phone

(702) 433-1804

NPI assigned

Apr 18, 2006

Last updated

Apr 16, 2015By the provider in NPPES

Sex

Male

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 1

Medicare fee-for-service enrollment

Enrolled in NV

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

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.

• William Bee Ririe Hospital

  • Critical Access Hospital
  • Ely, NV
  • NPI 1487648804
  Medicare reassignment NPD
• Lawrence D Gardner MD FRCS C Professional Corporation

  • Surgery Physician
  • Henderson, NV
  • NPI 1063560720
  Authorized official Same address or phone
• William Bee Ririe Retail Pharmacy

  • Community/Retail Pharmacy
  • Ely, NV
  • NPI 1831729268
  NPD
• Allison Curtis Kingsley Meoz Michael & Sanchez PC

  dba Comprehensive Cancer Centers of Nevada

  • Hematology & Oncology Physician
  • Las Vegas, NV
  • NPI 1598770471

  Surgery

  NPD (past)

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429142400000",
    "number": "1578528097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2337 PROMETHEUS CT",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890745339",
            "telephone_number": "702-433-1804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2337 PROMETHEUS CT",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890745339",
            "telephone_number": "702-433-1804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "LAWRENCE",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-18",
        "last_updated": "2015-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NV",
            "license": "NV2962",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002002166",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Victor Garcia Jr.
• Rene Garciaguirre
• Francine Gardberg
• Michael John Gardino
• Joel Daniel Gardner Jr.
• Michel Gardner
• Norman Gardner, MD
• Reanna Nicole Gardner, APRN
• Richard Lee Gardner II, DPM
• Isabel Garewal

• Surgery Physician in Henderson, NV
• Providers in Henderson, NV by specialty
• Surgery Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2015; 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.