John Kevin Gardner, C.P.

Primary specialty

ProsthetistTaxonomy code 224P00000X

License

PRO94 Issued in TN

Practice address

2108 E 3Rd St Ste 100
Chattanooga, TN 37404-2623

Phone

(423) 493-2395

Fax

(423) 493-2368

NPI assigned

Feb 13, 2007

Sex

Male

Sole proprietor

No

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)

Enrolled

Practice roles

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.

• University Surgical Associates, LLC

  • Prosthetist
  • Chattanooga, TN
  • NPI 1477876746
  NPD (past)

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447804800000",
    "number": "1720120900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "979 E 3RD ST STE 300",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374032187",
            "telephone_number": "423-757-0792",
            "fax_number": "423-757-0770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2108 E 3RD ST STE 100",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374042623",
            "telephone_number": "423-493-2395",
            "fax_number": "423-493-2368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "JOHN",
        "middle_name": "KEVIN",
        "name_prefix": "Mr.",
        "credential": "C.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-13",
        "last_updated": "2015-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "TN",
            "license": "PRO94",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karla L. Garcia, MD
• Natalie Garcia, PA-C
• David Gardenhire
• Tom M Gardenhire Jr., D.D.S.
• Jennifer Ann Gardner Cummins, MA
• Paul Gardner, D.D.S.
• Vincent Wayne Gardner, M.D.
• Warren Ewing Gardner II, MD
• Katie Marie Gareri, M.ED., BCBA
• Misha Wiegand Garey, D.D.S.

• Prosthetist in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Prosthetist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2015; 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.