Samuel Gardner, DO

ActiveIndividual ProviderFamily Medicine
NPI issued: October 31, 2006

Quick Facts

NPI Number
1962588111
TypeIndividual
StatusActive
SpecialtyFamily Medicine
Taxonomy207Q00000X — Family Medicine
Phone
(208) 756-6212
StateID

NPI Validation Status: Verified

Valid 10-digit NPI number (1962588111)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (October 31, 2006)
Data source: CMS NPPES

Provider Overview

SAMUEL GARDNER, DO is a Family Medicine provider based in Salmon, ID who has been registered with CMS since 2006. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1962588111
Provider TypeIndividual Provider
GenderMale
CredentialDO
StatusActive
Enumeration DateOctober 31, 2006

Practice Location

CitySalmon
StateID
ZIP Code83467-0000
Phone(208) 756-6212

Specialties & Licenses

★ Primary
SpecialtyFamily Medicine
Taxonomy Code207Q00000X
License StateID

Mailing Address

CitySalmon
StateID
ZIP Code83467-0000
Phone(208) 756-6212
Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1962588111 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1962588111for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1962588111 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Family Medicine

Family Medicine physicians provide comprehensive primary care to patients of all ages, managing acute illnesses, tracking chronic conditions, and emphasizing preventive healthcare.

📊
199,317
Family Medicine Providers in the US

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People Also Ask

What is Samuel Gardner's NPI number?
Samuel Gardner's NPI number is 1962588111, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Samuel Gardner's NPI currently active?
Yes, Samuel Gardner's NPI status is Active as of the latest CMS NPPES database updates.
What does Samuel Gardner specialize in?
Samuel Gardner specializes in Family Medicine. The healthcare taxonomy code associated with this specialty is 207Q00000X.
Where does Samuel Gardner practice?
Samuel Gardner practices in Salmon, ID 83467-0000.
When was Samuel Gardner's NPI issued?
Samuel Gardner's NPI was issued on October 31, 2006.
What is Samuel Gardner's provider type?
Samuel Gardner is registered as an Individual Provider under CMS NPI Type 1.