Active NPI
S. Aurora Gardner, M.D.
- Family Medicine Physician
- Connersville, IN
National Provider Identifier
1790768406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 01041571
- Practice address
- 1473 E State Road 44
Suite 4
Connersville, IN 47331-8374 - Phone
- (765) 827-6612
- Fax
- (765) 827-6910
- NPI assigned
- Nov 28, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 01041571 | IN | Primary |
Addresses
Primary practice location
1473 E State Road 44
Suite 4
Connersville, IN 47331-8374
Mailing address
1100 Reid Pkwy
Medical Staff Services
Richmond, IN 47374-1157
Phone (765) 827-6612
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000705719 | Other | ANTHEM | |
| 100388460 | Medicaid | IN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sgardner300994@ReidHealth.direct-ci.com | Reid Physician Associates, Inc. |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01041571 | IN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reid Hospital & Health Care Services Inc | Past | Accepting new patients | |
| S Aurora Gardner M D LLC | Family Medicine | Past | Accepting new patients |
| Major Hospital | Past | Accepting new patients |
Interoperability endpoints
- sgardner300994@reidhealth.direct-ci.com
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Connersville, IN
- NPI 1154494862
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
-
- Cardiovascular Disease Physician
- Oxford, OH
- NPI 1366614158
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620864000000",
"number": "1790768406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 REID PKWY",
"address_2": "MEDICAL STAFF SERVICES",
"city": "RICHMOND",
"state": "IN",
"postal_code": "473741157",
"telephone_number": "765-827-6612",
"fax_number": "765-827-6910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1473 E STATE ROAD 44",
"address_2": "SUITE 4",
"city": "CONNERSVILLE",
"state": "IN",
"postal_code": "473318374",
"telephone_number": "765-827-6612",
"fax_number": "765-827-6910"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARDNER",
"first_name": "S.",
"middle_name": "AURORA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-28",
"last_updated": "2021-05-13",
"certification_date": "2021-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "01041571",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000705719",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100388460",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sgardner300994@ReidHealth.direct-ci.com",
"affiliation": "Y",
"affiliationName": "Reid Physician Associates, Inc.",
"address_1": "1473 E State Road 44",
"address_2": "Suite 4",
"city": "Connersville",
"state": "IN",
"country_code": "US",
"postal_code": "473318374",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Connersville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.