Casey J Gardner is a Medical in Indianapolis, Indiana. Casey J Gardner practices all healthcare services and medical treatments related to Medical. The NPI Number for Casey J Gardner is 1629059878. The last update date is 2014-02-04.
Casey J Gardner's current location address is 714 N Senate Ave, Indianapolis, Indiana. You can contact this provider via phone number 3174724265. The mailing address for Casey J Gardner is 714 N Senate Ave, Indianapolis, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Casey J Gardner |
|---|---|
| Address | 714 N Senate Ave, Indianapolis, Indiana |
| Phone Number | 3174724265 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | P.A.C. |
NPI Number Detail
| NPI Number | 1629059878 |
|---|---|
| Provider Enumeration Date | 2005-11-07 |
| Last Updated Date | 2014-02-04 |
Provider Mailing Address Detail
| Address | 714 N Senate Ave |
|---|---|
| City | Indianapolis |
| State | Indiana (IN) |
| Post Code | 462023763 |
| Phone Number | 3174724265 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 10000672A |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 643669 | IN | ANTHEM BCBS | |
| 151020TTTT | IN | MEDICARE PTAN NUMBER | |
| P00841261 | IN | RAILROAD MEDICARE PTAN NUMBER |
Post Comment/ Review Below
What is the Casey J Gardner's unique identification number?
The Casey J Gardner has been assigned the NPI (National Provider Identifier) Number 1629059878 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Casey J Gardner is physically located?
The Casey J Gardner is physically situated at the following address: 714 N Senate Ave, Indianapolis, IN, 462023763.
What is the area of specialization for Casey J Gardner, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Casey J Gardner is Medical, and the corresponding taxonomy code that categorizes this area of expertise is 363Am0700X.
On what date was the 1629059878 assigned to Casey J Gardner?
The Casey J Gardner was issued its 1629059878 on 2005-11-07, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Casey J Gardner, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Casey J Gardner, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2014-02-04.