Leonard Gardberg, MD

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

License

55588 Issued in GA

Practice address

11Oo Yates St
Orlando, FL 32804

Phone

(407) 422-9822

NPI assigned

Nov 10, 2006

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Medical Education Assistance Corporation

  • Internal Medicine Physician
  • Johnson City, TN
  • NPI 1235180480
  NPD (past)
• Takoma Hospital & Sanitarium Training School, Inc.

  • Psychiatric Hospital Unit
  • Greeneville, TN
  • NPI 1811915838
  NPD (past)

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362960000000",
    "number": "1821169244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 YATES ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328045766",
            "telephone_number": "407-422-9822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11OO YATES ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32804",
            "telephone_number": "407-422-9822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDBERG",
        "first_name": "LEONARD",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-10",
        "last_updated": "2013-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "GA",
            "license": "55588",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "55588",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "636648176A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yaneysi Garcia
• Yany Garcia Sr., M.B.A.
• Zoraida Josefina Garcia
• Dafinie Garcon, DPT, MSMS, MBA
• Mahammad Gardashli
• Garden of Eden Health and Wellness LLC
• Garden of Eden Home Care LLC
• Garden of Eden Medical Group LLC
• Alexandra Gardi
• Rosa A Gardiner, OTRL

• Interventional Cardiology Physician in Orlando, FL
• Providers in Orlando, FL by specialty
• Interventional Cardiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.