| Matthew Joseph Gardner, | |
|
7 Independence Pt Ste 300, Greenville, SC 29615-4569 | |
| (864) 522-3700 | |
| (864) 522-3705 |
| Full Name | Matthew Joseph Gardner |
|---|---|
| Gender | Male |
| Speciality | Anesthesiologist Assistant |
| Location | 7 Independence Pt Ste 300, Greenville, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588016661 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367H00000X | Anesthesiologist Assistant | AA358 (Florida) | Secondary |
| 367H00000X | Anesthesiologist Assistant | 114 (South Carolina) | Primary |
| Entity Name | Ohio Anesthesia Group, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639348113 PECOS PAC ID: 9537222138 Enrollment ID: O20090108000069 |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew Joseph Gardner, 41 Southeast 5th Street, Unit 1401, Miami, FL 33131 Ph: (412) 523-8600 | Matthew Joseph Gardner, 7 Independence Pt Ste 300, Greenville, SC 29615-4569 Ph: (864) 522-3700 |
Stephen Chas Goodwin, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 7 Independence Pt Ste 300, Greenville, SC 29615 Phone: 864-522-3700 Fax: 864-522-3705 | |
Mr. Christopher Robert Brown, Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 7 Independence Pt Ste 300, Greenville, SC 29615 Phone: 864-522-3700 Fax: 864-522-3705 | |
Tyler K Childers, AA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 701 Grove Rd, Greenville, SC 29605 Phone: 864-455-3076 | |
Taylor Douglas Vance, Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 701 Grove Rd, Greenville, SC 29605 Phone: 864-455-3076 Fax: 864-455-4135 | |
Allison Paige Hathaway, AA-C Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 7 Independence Pt Ste 300, Greenville, SC 29615 Phone: 864-522-3700 Fax: 864-522-3705 | |
Emily Allan, Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 7 Independence Pt Fl 4, Greenville, SC 29615 Phone: 864-522-3700 Fax: 864-522-3705 | |
Daniel Ziebko, AA-C Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 7 Independence Pt Ste 300, Greenville, SC 29615 Phone: 864-522-3700 Fax: 864-522-3705 |