Active NPI
Howard M Gardner, M.D.
- Neurological Surgery Physician
- Lawrence, MA
National Provider Identifier
1760478663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 27515
- Practice address
- 354 Merrimack St
Lawrence, MA 01843-1754 - Phone
- (978) 687-2321
- Fax
- (978) 685-7265
- NPI assigned
- Sep 26, 2005
- 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 |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | 27515 | MA | Primary |
| Neurological Surgery Physician | 207T00000X | 4657 | NH |
Addresses
Primary practice location
354 Merrimack St
Lawrence, MA 01843-1754
Mailing address
354 Merrimack St
Lawrence, MA 01843-1754
Phone (978) 687-2321
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00000072 | Medicaid | NH | |
| 23586 | Other | MA | FCHP |
| 05-00256 | Other | MA | EVERCARE |
| 06-00005 | Other | MA | UHC |
| 2092301 | Medicaid | MA | |
| 714454 | Other | MA | THP |
| D13191 | Other | MA | BCBSMA |
| 0003738 | Other | MA | NHP |
| 4475150 | Other | MA | AETNA |
| 0099421-001 | Other | MA | CIGNA |
| 12179 | Other | MA | HPHC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neuro Rehab Associates, Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Rehabilitation Hospital
- Salem, NH
- NPI 1255354288
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1760478663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "354 MERRIMACK ST",
"city": "LAWRENCE",
"state": "MA",
"postal_code": "018431754",
"telephone_number": "978-687-2321",
"fax_number": "978-685-7265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "354 MERRIMACK ST",
"city": "LAWRENCE",
"state": "MA",
"postal_code": "018431754",
"telephone_number": "978-687-2321",
"fax_number": "978-685-7265"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARDNER",
"first_name": "HOWARD",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-26",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "MA",
"license": "27515",
"primary": true
},
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "NH",
"license": "4657",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00000072",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FCHP",
"identifier": "23586",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EVERCARE",
"identifier": "05-00256",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC",
"identifier": "06-00005",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2092301",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "THP",
"identifier": "714454",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSMA",
"identifier": "D13191",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NHP",
"identifier": "0003738",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4475150",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "0099421-001",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HPHC",
"identifier": "12179",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lawrence, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.