Samuel T Gardner III, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

L4386 Issued in TX

Practice address

12141 Richmond Ave
Houston, TX 77082-2408

Phone

(281) 799-8600

Fax

(281) 596-5947

NPI assigned

Dec 15, 2005

Last updated

Dec 27, 2007By the provider in NPPES

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Emergency Medicine

Education

University of Oklahoma College of Medicine, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Travis County Emergency Physicians PAGroup PAC ID 0840289468, 289 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Houston Methodist Sugarland Hospital Hospital, Sugar Land, TX, CCN 450820

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Travis County Emergency Physicians PA

  • Emergency Medicine Physician
  • Austin, TX
  • NPI 1962440933
  Medicare reassignment Care Compare group NPD
• Fort Bend Emergency Associates PA

  • Emergency Medicine Physician
  • Katy, TX
  • NPI 1487856886
  NPD (past)
• Greater Houston Emergency Physicians PLLC

  • Emergency Medicine Physician
  • Dallas, TX
  • NPI 1316363336
  NPD (past)
• Methodist Health Centers

  dba Houston Methodist Cypress Hospital

  • General Acute Care Hospital
  • Cypress, TX
  • NPI 1629828405
  NPD (past)
• Southeast Emergency Physician Associates, P.a.

  • Emergency Medicine Physician
  • Beaumont, TX
  • NPI 1235155102
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Methodist Health Centers

  dba Houston Methodist Sugar Land Hospital

  • General Acute Care Hospital
  • Sugar Land, TX
  • NPI 1497871628
  Care Compare affiliation

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

{
    "created_epoch": "1134604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198713600000",
    "number": "1801871538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 200993",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772160993",
            "telephone_number": "281-784-1111",
            "fax_number": "281-784-1555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12141 RICHMOND AVE",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770822408",
            "telephone_number": "281-799-8600",
            "fax_number": "281-596-5947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "SAMUEL",
        "middle_name": "T",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-15",
        "last_updated": "2007-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "L4386",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX PROV NO",
            "identifier": "8G4159",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "153992601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kiana Monet Gardner
• Marc Gardner
• Marquis Gardner Sr.
• Michael Gardner
• Samantha Renee Gardner, MD
• Shanna C Gardner, LPC-S
• Susan Gardner, M.D.
• Trevon Deontay Gardner, B.S. CHW
• Yasmin Gardner
• Natascha Rivas Gardoni, PA-C

• Emergency Medicine Physician in Houston, TX
• Providers in Houston, TX by specialty
• Emergency Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.