Active NPI
Patricia Gardner, MD
- Emergency Medicine Physician
- Michigan City, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 01051974A
- Practice address
- 301 W Homer St
Michigan City, IN 46360-4358 - Phone
- (219) 877-1616
- Fax
- (219) 877-2007
- NPI assigned
- Jan 11, 2007
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 01051974A | IN | Primary |
Addresses
Primary practice location
301 W Homer St
Michigan City, IN 46360-4358
Mailing address
3316 Potomac CT
Naples, FL 34120-4474
Phone (239) 352-8050
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Michigan State University College of Human Medicine, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
40 S Heathwood Dr
Marco Island, FL 34145-5026
Phone (239) 394-8234
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01051974A | IN | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Florida Emergency Management LLC | Emergency Medicine | Current | Accepting new patients |
| Thse - Marco Urgent Care LLC | Current | Accepting new patients | |
| St. Anthony Home Medical Equipment | Past | Accepting new patients |
Locations
40 S Heathwood Dr
Marco Island, FL 34145
Phone (239) 393-4079
15420 Collier Blvd
Naples, FL 34120
Phone (239) 624-0600
350 7th St N
Naples, FL 34102
Phone (239) 436-5000
14050 NW 14th St
Ste 190
Sunrise, FL 33323
Phone (954) 424-3672
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Marco Island, FL
- NPI 1801125331
-
- Emergency Medicine Physician
- Naples, FL
- NPI 1780911206
-
- Durable Medical Equipment & Medical Supplies
- Michigan City, IN
- NPI 1437258217
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba NCH Healthcare System Inc
- General Acute Care Hospital
- Naples, FL
- NPI 1720085137
-
dba Physicians Regiona Medical Center-Collier
- General Acute Care Hospital
- Naples, FL
- NPI 1215003348
-
dba Physicians Regional Medical Center-Pine Ridge
- General Acute Care Hospital
- Naples, FL
- NPI 1316992134
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1871643791",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3316 POTOMAC CT",
"city": "NAPLES",
"state": "FL",
"postal_code": "341204474",
"telephone_number": "239-352-8050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 W HOMER ST",
"city": "MICHIGAN CITY",
"state": "IN",
"postal_code": "463604358",
"telephone_number": "219-877-1616",
"fax_number": "219-877-2007"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARDNER",
"first_name": "PATRICIA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IN",
"license": "01051974A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Michigan City, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.