Gardner Surgery Center Inc

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

83 Issued in LA

Legal business name

GARDNER SURGERY CENTER INC

Practice address

3101 Kilpatrick Blvd
Monroe, LA 71201-5157

Phone

(318) 322-5506

Fax

(318) 322-5916

NPI assigned

Sep 13, 2006

Organization subpart

No

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

Authorized official

Name

Dr. David G Gardner, DPM

Title

President

Phone

(318) 322-5506

Specialties & licenses 1

Addresses

Other names 1

• Northeast Louisiana Surgery Center Doing business as

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281571200000",
    "number": "1972607489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 KILPATRICK BLVD",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712015157",
            "telephone_number": "318-322-5506",
            "fax_number": "318-322-5916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 KILPATRICK BLVD",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712015157",
            "telephone_number": "318-322-5506",
            "fax_number": "318-322-5916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDNER SURGERY CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2010-08-12",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "318-322-5506",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "LA",
            "license": "83",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northeast Louisiana Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kaitlin Renee Ganey
• Karen Maxine Gant, APRN, FNP-BC
• Sarah Garcia, SLP
• Tommy Angelo Garcia
• Gardner Podiatry, Inc.
• David G Gardner, DPM
• Deborah Ann Gardner, LPC
• Kymyatta Gardner
• Victor Gardner
• Hendrice Garner

• All providers in Monroe, LA
• Ambulatory Surgical Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2010; 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.