Jonathan Todd Gardner, CHES, PTA, EXP

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

2775 W Dickman Rd
Suite L
Springfield, MI 49015-4895

Phone

(269) 966-1101

Fax

(269) 966-1113

NPI assigned

Aug 30, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Nottawaseppi Huron Band of the Potawatomi

  dba NHBP Health Department

  • Federal Public Health Clinic/Center
  • Wyoming, MI
  • NPI 1770500548
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962511840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1621 ROSELAND AVE",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490014353",
            "telephone_number": "269-966-1101",
            "fax_number": "269-966-1113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2775 W DICKMAN RD",
            "address_2": "SUITE L",
            "city": "SPRINGFIELD",
            "state": "MI",
            "postal_code": "490154895",
            "telephone_number": "269-966-1101",
            "fax_number": "269-966-1113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "JONATHAN",
        "middle_name": "TODD",
        "name_prefix": "Mr.",
        "credential": "CHES, PTA, EXP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Judith Halpern, NP
• Ervin Eugene Hamilton, L.L.P.

• Specialist in Springfield, MI
• Providers in Springfield, MI by specialty
• Specialist in Michigan

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.