Timothy L. Gardner,Dpm

LBN: Timothy L. Gardner,Dpm
Timothy L. Gardner,Dpm is an health care organization with primary practice located at 10810 Parkside Dr Ste 202 , Knoxville TN 37934-1981. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as the primary health care specialty. Timothy L. Gardner,Dpm can be contacted via phone (865) 218-7474, or through Gardner, Timothy Logan via phone (865) 218-7474.

Contact Information

Primary practice address
10810 Parkside Dr Ste 202 Knoxville TN 37934-1981
Phone: (865) 218-7474
Fax: (865) 218-7475
Website:
Map and Directions
Authorized official contact:
Name: Gardner, Timothy Logan Doctor of Podiatric Medicine (DPM)
Phone: (865) 218-7474

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X DPM409 Tennessee

Profile Details

NPI number 1417140070
LBN Legal business name Timothy L. Gardner,Dpm
DBA Doing business as
Authorized official Gardner, Timothy Logan Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 27th, 2007
Last updated Jun 18th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417140070 NPPES
Tennessee MEDICAID 3351921
Tennessee Other 0191729

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