Active NPI
Morey Gardner, M.D.
- Infectious Disease Physician
- Saint Louis, MO
National Provider Identifier
1972646776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- R8488
- Practice address
- 6420 Clayton Rd
Dept of Internal Medicine
Saint Louis, MO 63117-1811 - Phone
- (314) 768-8778
- NPI assigned
- Feb 14, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | R8488 | MO | Primary |
Addresses
Primary practice location
6420 Clayton Rd
Dept of Internal Medicine
Saint Louis, MO 63117-1811
Mailing address
6420 Clayton Rd
Dept of Internal Medicine
Saint Louis, MO 63117-1811
Phone (314) 768-8778
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R8488 | MO | MD | Infectious Disease Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289779200000",
"number": "1972646776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6420 CLAYTON RD",
"address_2": "DEPT OF INTERNAL MEDICINE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631171811",
"telephone_number": "314-768-8778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6420 CLAYTON RD",
"address_2": "DEPT OF INTERNAL MEDICINE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631171811",
"telephone_number": "314-768-8778"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARDNER",
"first_name": "MOREY",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-14",
"last_updated": "2010-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "MO",
"license": "R8488",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.