Individual provider Active NPI

Christopher Joseph Gard, PA

  • Physician Assistant
  • Flint, MI
National Provider Identifier
1992406664
Registry record updated Mar 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601011634 Issued in MI
Practice address
2265 S Linden Rd
Flint, MI 48532-5408
Phone
(810) 720-8700
NPI assigned
Mar 10, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601011634 MI Primary

Addresses

Primary practice location

2265 S Linden Rd
Flint, MI 48532-5408

Mailing address

2265 S Linden Rd
Flint, MI 48532-5408
Phone (810) 720-8700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230515002352 MI Practitioner - Physician Assistant 7719343870 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hazimeh Primary Care PLLC CurrentSince Dec 31, 2025 Accepting new patients
Ali Hazimeh PLLC CurrentSince Dec 31, 2025 Accepting new patients
Ebi, LLC PastSince Mar 12, 2023 Accepting new patients

Locations

7542 Wyoming St
Dearborn, MI 48126
Phone (313) 415-1515

7534 Wyoming St
Dearborn, MI 48126
Phone (313) 415-1515

Interoperability endpoints

  • Direct secure messaging: christopher.gard.1@32709.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1678406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678406400000",
    "number": "1992406664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2265 S LINDEN RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485325408",
            "telephone_number": "810-720-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2265 S LINDEN RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485325408",
            "telephone_number": "810-720-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARD",
        "first_name": "CHRISTOPHER",
        "middle_name": "JOSEPH",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-10",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601011634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.