David G Gardner, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

PD221R Issued in LA

Practice address

3101 Kilpatrick Blvd
Monroe, LA 71201-5157

Phone

(318) 322-5506

Fax

(318) 322-5916

NPI assigned

Mar 14, 2006

Last updated

Jun 29, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: david.gardner.1@19036.direct.athenahealth.com

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.

• Hsa Louisiana Physician Group Inc

  • Specialist
  • West Monroe, LA
  • NPI 1770307910
  Medicare reassignment NPD
• Physician Group of Louisiana Inc

  • General Practice Physician
  • West Monroe, LA
  • NPI 1316188998
  Medicare reassignment NPD
• Gardner Podiatry, Inc.

  dba Gardner Foot Clinic

  • Podiatrist
  • Monroe, LA
  • NPI 1124268321
  Authorized official Same address or phone
• Gardner Surgery Center Inc

  dba Northeast Louisiana Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Monroe, LA
  • NPI 1972607489
  Authorized official Same address or phone
• Physician Group of Louisiana Inc

  dba Steward Medical Group of Louisiana

  • Family Medicine Physician
  • West Monroe, LA
  • NPI 1013486059
  NPD

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277769600000",
    "number": "1811965916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 KILPATRICK BLVD",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712015157",
            "telephone_number": "318-322-5506",
            "fax_number": "318-322-5916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 KILPATRICK BLVD",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712015157",
            "telephone_number": "318-322-5506",
            "fax_number": "318-322-5916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "DAVID",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2010-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "LA",
            "license": "PD221R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1484997",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Maxine Gant, APRN, FNP-BC
• Sarah Garcia, SLP
• Tommy Angelo Garcia
• Gardner Podiatry, Inc. (Gardner Foot Clinic)
• Gardner Surgery Center Inc (Northeast Louisiana Surgery Center)
• Deborah Ann Gardner, LPC
• Kymyatta Gardner
• Victor Gardner
• Hendrice Garner
• Meredith L Garner, PHARMD

• Podiatrist in Monroe, LA
• Providers in Monroe, LA by specialty
• Podiatrist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2010; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.