John Anthony Gardner II
Individual provider Active NPI Pain Medicine (Anesthesiology) Physician · Franklin, KY
NPI 1770826299 · NPPES record last updated Mar 25, 2024
Key facts
- NPI
- 1770826299
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pain Medicine (Anesthesiology) Physician 207LP2900X
- License
- 51044 (KY)
- Practice address
- 1112 S Main St Ste 7
Franklin, KY 42134-2322 - Phone
- (270) 745-7246
- Fax
- (270) 282-2027
- NPI assigned
- Apr 3, 2013
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 27
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Anesthesiology
- Education
- University of Louisville School of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Commonwealth Pain Associates PLLC
Practice addresses (Care Compare)
101 Prosperous PL
Suite 300
Lexington, KY 40509-1836
Phone (859) 275-5229
120 Executive Park
Louisville, KY 40207-4201
Phone (502) 855-7200
99 Wellpark Lane
Suite 4
Campbellsville, KY 42718-4919
Phone (606) 260-8613
Hospital & facility affiliations
- Taylor Regional Hospital
- The Medical Center (Bowling Green)
- TJ Health Columbia
- Russell County Hospital
- Spring View Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.99 of 100
- Quality
- 81.97
- Promoting interoperability
- 97
- Improvement activities
- 40
- Cost
- 77.29
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180604002673 | KY | Practitioner - Anesthesiology | 2769624253 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 57.022765 | OH | MD | Anesthesiology Physician |
| 51044 | KY | MD | Pain Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Interventional Pain Specialists of Bowling Green, PLC | Pain Medicine | Current |
Accepting new patients |
| Interventional Pain Specialists of Bowling Green PLC | Anesthesiology | Current |
Accepting new patients |
| Commonwealth Pain Associates PLLC | Current |
Accepting new patients | |
| Commonwealth Pain Associates, PLLC | Anesthesiology | Current |
Accepting new patients |
| Interventional Pain Specialists of Bowling Green PLC | Anesthesiology | Current | Accepting new patients |
Locations
935 Chambers Blvd
Bardstown, KY 40004
Phone (270) 506-3300
165 Natchez Trace Ave
Ste 205
Bowling Green, KY 42103
Phone (270) 282-2024
825 2nd Ave
Ste C6
Bowling Green, KY 42101
Phone (270) 745-7246
99 Wellpark Ln
Apt 4
Campbellsville, KY 42718
Phone (606) 260-8613
1112 S Main St
Ste 7
Franklin, KY 42134
Phone (270) 745-7246
1216 N Race St
Glasgow, KY 42141
Phone (270) 651-7246
223 Executive Park
Louisville, KY 40207
120 Executive Park
St Matthews, KY 40207
Phone (502) 409-9925
Interoperability endpoints
- john.gardner.1@16521.direct.athenahealth.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 57.022765 | OH | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 51044 | KY | Yes |
Addresses
Primary practice location
1112 S Main St Ste 7
Franklin, KY 42134-2322
Mailing address
PO Box 21890
Belfast, ME 04915-4115
Phone (270) 745-7246
Other practice location 1
1216 N Race St
Glasgow, KY 42141-3462
Phone (270) 745-7246
Other practice location 2
165 Natchez Trace Ave Ste 205
Bowling Green, KY 42103-7947
Phone (270) 745-7246
Other practice location 3
99 Wellpark Ln
Ste 4
Campbellsville, KY 42718-4919
Phone (606) 260-8613
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100538630 | Medicaid | KY |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | john.gardner.1@16521.direct.athenahealth.com | Commonwealth Pain Associates, PLLC |
Other providers in Franklin, KY
- Franklin Pharmacy Inc
- Franklin Simpson County Ambulance Service
- Freds Stores of Tennessee Inc.
- Friends Home & Medical Supply LLC
- Crystal Cherie Gaddie
- Arthur Garvin
- Shelly Geary
- Arndrea Lasha Gooch
- Graves Gilbert Clinic, PLLC
- Robert E. Green
All providers in Franklin, KY · Pain Medicine (Anesthesiology) Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 25, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.