Marshall Keith Gardner, D.O., P.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS003214L Issued in PA

Legal business name

MARSHALL KEITH GARDNER, D.O., P.C.

Practice address

15 Anthony Dr
Richboro, PA 18954-1328

Phone

(215) 969-3013

Fax

(215) 676-2522

NPI assigned

Mar 28, 2007

Organization subpart

No

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

Authorized official

Name

Fran Gardner

Title

Office Manager

Phone

(215) 969-3013

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194998400000",
    "number": "1891814018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 ANTHONY DR",
            "city": "RICHBORO",
            "state": "PA",
            "postal_code": "189541328",
            "telephone_number": "215-969-3013",
            "fax_number": "215-676-2522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 ANTHONY DR",
            "city": "RICHBORO",
            "state": "PA",
            "postal_code": "189541328",
            "telephone_number": "215-969-3013",
            "fax_number": "215-676-2522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARSHALL KEITH GARDNER, D.O., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2007-11-14",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "FRAN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "215-969-3013"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS003214L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kiara Lynch, OD
• Anahita Madon, PSY.D.
• Tulsi Majchrzak
• Jerry Margulies, D.O.
• Marmur Dental PLLC
• Brooke Campanelli Martell
• Christine Martin, DMD
• Joseph J Martin, DPT
• Nicole Kathleen Martin, LPC
• Emily Martorelli, MSAT, LAT, CAT

• Family Medicine Physician in Richboro, PA
• Providers in Richboro, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2007; 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.