Organization Active NPI

Marcus a Gardiner

Doing business as Gardiner Anesthesia Services

  • Certified Registered Nurse Anesthetist
  • Baroda, MI
National Provider Identifier
1861895930
Registry record updated Jan 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
MARCUS A GARDINER
Doing business as
Gardiner Anesthesia Services
Practice address
10053 Singer Lake Rd
Baroda, MI 49101-9713
Phone
(231) 225-5216
NPI assigned
Oct 3, 2014
Last updated
Jan 20, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2020

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

Authorized official

Name
Marcus A Gardiner, CRNANPI 1285661686
Title
Owner
Phone
(231) 225-5216

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X NU Primary

Addresses

Primary practice location

10053 Singer Lake Rd
Baroda, MI 49101-9713

Mailing address

10053 Singer Lake Rd
Baroda, MI 49101-9713
Phone (231) 225-5216

Other names 1

  • GARDINER ANESTHESIA SERVICES Doing business as

National Provider Directory

National Provider Directory

Locations

7747 W Jefferson Blvd
Ste B
Fort Wayne, IN 46804
Phone (260) 434-9104

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1412294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579478400000",
    "number": "1861895930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10053 SINGER LAKE RD",
            "city": "BARODA",
            "state": "MI",
            "postal_code": "491019713",
            "telephone_number": "231-225-5216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10053 SINGER LAKE RD",
            "city": "BARODA",
            "state": "MI",
            "postal_code": "491019713",
            "telephone_number": "231-225-5216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARCUS A GARDINER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-03",
        "last_updated": "2020-01-20",
        "certification_date": "2020-01-20",
        "status": "A",
        "authorized_official_last_name": "GARDINER",
        "authorized_official_first_name": "MARCUS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "231-225-5216",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GARDINER ANESTHESIA SERVICES",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "GARDINER ANESTHESIA SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baroda, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2020; 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.