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S AURORA GARDNER M D LLC NPI 1154494862


NPI Information

NPI: 1154494862
Provider Name: S AURORA GARDNER M D LLC

Other Name: S. AURORA GARDNER, M.D.

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
1473 E STATE ROAD 44 STE 4
CONNERSVILLE, IN
ZIP 47331
Phone: (765) 827-6612
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S AURORA GARDNER M D LLC is a family medicine in Connersville, IN. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. S AURORA GARDNER M D LLC NPI is 1154494862. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is S. Aurora Gardner, M.d..

The provider's business location address is:

1473 E STATE ROAD 44 STE 4
CONNERSVILLE, IN
ZIP 47331-292
Phone: (765) 827-6612
Fax: (765) 827-6910

The provider's authorized official is S. Aurora Gardner .
The authorized official title is Sole Owner and has the following contact phone number (765) 827-6612.

The enumeration date for this NPI number is 11/17/2006 and was last updated on 11/13/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine01041571INDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1F83571MEDICARE UPININDIANA
2180960MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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