GARDNER FAMILY MEDICINE, INC. NPI 1003011594
Family Medicine in Gardner, MA
About GARDNER FAMILY MEDICINE, INC.
Gardner Family Medicine, Inc. is a primary care provider established in Gardner, Massachusetts operating as a Family Medicine. The NPI number of this provider is 1003011594 and was assigned on June 2007. The practitioner's primary taxonomy code is 207Q00000X with license number 2141244 (MA). The provider is registered as an organization and their NPI record was last updated 3 years ago. Gardner Family Medicine, Inc. operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Jennifer Ryan Do (President)
| NPI | 1003011594 |
| Provider Name | GARDNER FAMILY MEDICINE, INC. |
| Location Address | 57 CITY HALL AVE GARDNER, MA 01440 |
| Location Phone | (978) 630-3862 |
| Mailing Address | 57 CITY HALL AVE GARDNER, MA 01440 |
| NPI Entity Type | Organization |
| Is Sole Proprietor? | N/A |
| Is Organization Subpart? | No |
| Enumeration Date | 06-15-2007 |
| Last Update Date | 08-22-2020 |
A primary care provider (PCP) like Gardner Family Medicine, Inc. sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
The CLIA number of Gardner Family Medicine, Inc. is 22D0978797 registered as a "physician office" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued to Gardner Family Medicine, Inc. in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
Primary Taxonomy
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
| Taxonomy Code | 207Q00000X |
| Classification | Family Medicine |
| Type | Allopathic & Osteopathic Physicians |
| License No. | 2141244 |
| License State | MA |
| Taxonomy Description | 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. |
Business Address
57 CITY HALL AVE
GARDNER, MA
ZIP 01440
Phone: (978) 630-3862
Fax: (978) 630-4176
Mailing Address
57 CITY HALL AVE
GARDNER, MA
ZIP 01440
Phone: (978) 630-3862
Fax: (978) 630-4176
Location Map
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for the NPI number 1003011594 is:
| CLIA Number | 22D0978797 |
| Facility Type | PHYSICIAN OFFICE |
| Certificate Type | Certificate for Provider-Performed Microscopy Procedures (PPMP) |
Group Taxonomy
193400000X MULTIPLE SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Secondary Taxonomies
The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.
| No. | Taxonomy Code | Type | Classification | Specialization | License No. | State | Primary |
|---|---|---|---|---|---|---|---|
| 1 | 363A00000X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | 214124 | MA | N/A | |
Taxonomy Description: a physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. | |||||||
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 0 | 3 | 0 | 1 | 1 | 5 | 9 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 0 | 3 | 0 | 1 | 2 | 5 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 0 + 3 + 0 + 1 + 2 + 5 + 1 + 8 + 24 = 46 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 46 = 4 | 4 | ||||||||
The NPI number 1003011594 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 7 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1467427708 | JENNIFER RYAN D.O. Individual | Family Medicine | 57 CITY HALL AVE GARDNER, MA 01440 (978) 630-3862 |
| 1386610863 | AMANDA SPADAZZI M.D. Individual | Family Medicine | 57 CITY HALL AVE GARDNER, MA 01440 (978) 630-3862 |
| 1962577262 | MR. MATTHEW J ENOS PA Individual | Physician Assistant (Medical) | 57 CITY HALL AVE GARDNER, MA 01440 (978) 630-3862 |
| 1639442825 | MRS. CAROL ANNE FURNARI PA Individual | Physician Assistant | 57 CITY HALL AVE GARDNER, MA 01440 (978) 630-3862 |
| 1992201925 | ERIK WILLIAM WISNIEWSKI FNP Individual | Nurse Practitioner (Family) | 57 CITY HALL AVE GARDNER, MA 01440 (978) 630-3862 |
| 1730225582 | DR. JEFFREY D MOSER D.P.M. Individual | Podiatrist | 57 CITY HALL AVE GARDNER, MA 01440 (978) 630-3862 |
| 1104541432 | MISS CHELSEA LEE GAGNE FNP-C Individual | Nurse Practitioner (Family) | 57 CITY HALL AVE GARDNER, MA 01440 (978) 630-3862 |
Frequently Asked Questions
What is GARDNER FAMILY MEDICINE, INC. NPI number?
The NPI number assigned to this healthcare provider is 1003011594, registered as an "organization" on June 15, 2007
Where is GARDNER FAMILY MEDICINE, INC. located?
The provider is located at 57 City Hall Ave Gardner, Ma 01440 and the phone number is (978) 630-3862
What kind of medical provider is GARDNER FAMILY MEDICINE, INC.?
This medical organization specializes in Family Medicine
What is GARDNER FAMILY MEDICINE, INC. CLIA number?
The provider's CLIA number is 22D0978797 for a "physician office" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..
How do I update my NPI information?
The NPI record of GARDNER FAMILY MEDICINE, INC. was last updated on June 15, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
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