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PETER GARDINER M.D. NPI 1225055783


NPI Information

NPI: 1225055783
Provider Name: PETER GARDINER, M.D.
Classification: Emergency Medicine - 207P00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
7245 RAIDER RD
BONNE TERRE, MO
ZIP 63628
Phone: (636) 916-9000
Get Directions

Peter Gardiner, M.D. is an emergency medicine in Bonne Terre, MO with 42 years of experience. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. Peter Gardiner, M.D. NPI is 1225055783. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

7245 RAIDER RD
BONNE TERRE, MO
ZIP 63628-767
Phone: (636) 916-9000

The NPI 1225055783 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/17/2006 and was last updated on 2/10/2009.


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
1207P00000XEmergency Medicine025344GEORGIANo
2207P00000XEmergency MedicineR6D18MISSOURIYes

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
1964805005MEDICARE PINMISSOURI
2940354748MEDICARE PINMISSOURI
3203338520MEDICAIDMISSOURI
4011013209MEDICARE PINMISSOURI
5940353210MEDICARE PINMISSOURI
6$$$$$$$$$-1MEDICAIDILLINOIS
7940353211MEDICARE PINMISSOURI
8147400018MEDICARE PINMISSOURI
9F28544MEDICARE UPIN
10940354740MEDICARE 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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.