Gardner Plastic Surgery Inc

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

GARDNER PLASTIC SURGERY INC

Practice address

1250 Pine Ridge Rd Ste 101C
Naples, FL 34108-8913

Phone

(239) 566-2611

Fax

(239) 431-8069

NPI assigned

Feb 4, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Paul Michael Gardner, MDNPI 1053446641

Title

Manager

Phone

(239) 877-2239

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paul Michael Gardner, M.D.

  • Plastic Surgery Physician
  • Naples, FL
  • NPI 1053446641
  Medicare reassignment Care Compare group NPD Authorized official
• Andrew Michael Bonett, M.D.

  • Plastic Surgery Physician
  • Naples, FL
  • NPI 1376956763
  Medicare reassignment Care Compare group NPD
• Mark Walsh Jr., MD

  • Plastic Surgery Physician
  • Naples, FL
  • NPI 1144376724
  Medicare reassignment Care Compare group NPD
• Leopoldo Miguel Baccaro, M.D.

  • Surgery Physician
  • Easton, PA
  • NPI 1821316381

  FL

  Medicare reassignment Care Compare group NPD
• Jason Crespo, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Orlando, FL
  • NPI 1790123487
  Medicare reassignment NPD
• Aaron Matthew Jacobs, MD

  • Plastic Surgery Physician
  • Naples, FL
  • NPI 1871151530
  NPD

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

{
    "created_epoch": "1233705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1639317290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 PINE RIDGE RD STE 101C",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341088913",
            "telephone_number": "239-566-2611",
            "fax_number": "239-431-8069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 PINE RIDGE RD STE 101C",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341088913",
            "telephone_number": "239-566-2611",
            "fax_number": "239-431-8069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDNER PLASTIC SURGERY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-04",
        "last_updated": "2023-09-06",
        "certification_date": "2023-02-27",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "239-877-2239",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yamilet Garcia
• Yanet Garcia
• Pedro Garciarena, M.D.
• Marco Gardeazabal
• Garden Nursing Home Care LLC
• Paul Michael Gardner, M.D.
• Preston Alden Gardner, D.O.
• Junee F Gardy, DDS
• Tiffany Gargiulo, M.A., CCC-SLP
• Kim Shoelhorn Garnick

• Plastic Surgery Physician in Naples, FL
• Providers in Naples, FL by specialty
• Plastic Surgery Physician in Florida

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

Verify at the official NPI Registry.