James Eric Gardner, MD, PC

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

35417 Issued in TN

Legal business name

JAMES ERIC GARDNER, MD, PC

Practice address

1750 Madison Ave
Suite 300
Memphis, TN 38104-6492

Phone

(901) 861-8088

NPI assigned

Sep 8, 2010

Last updated

Sep 8, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. James Gardner, MDNPI 1801009089

Title

President

Phone

(901) 861-8088

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

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.

• James Eric Gardner, MD

  • Vascular Surgery Physician
  • Memphis, TN
  • NPI 1801009089
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1283904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283904000000",
    "number": "1881901163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 MADISON AVE",
            "address_2": "SUITE 300",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381046492",
            "telephone_number": "901-861-8088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 MADISON AVE",
            "address_2": "SUITE 300",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381046492",
            "telephone_number": "901-861-8088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES ERIC GARDNER, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-08",
        "last_updated": "2010-09-08",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "901-861-8088",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "TN",
            "license": "35417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jam Family Doula Services
• Sara Z Jamal, MD
• Gerrie J Jambard, FNP
• James B. Cochran, DDS, PC
• James E Boone MD PLLC
• James F McGuckin MD of TN PA
• James F Proctor DDS PA
• James H Shull MD PC
• April James, LMSW
• Ashley Lynn James, OTD, OTR/L

• Vascular Surgery Physician in Memphis, TN
• Providers in Memphis, TN by specialty
• Vascular Surgery Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.