GARDNER FAMILY MEDICINE, INC.
NPI 1003011594
Family Medicine in Gardner, MA

NPI Status: Active since June 15, 2007

Contact Information

57 CITY HALL AVE
GARDNER, MA
ZIP 01440
Phone: (978) 630-3862
Fax: (978) 630-4176

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  • Organization
  • Family Medicine
  • CLIA Number: 22D0978797
  • CLIA Cert. Type: PPMP
  • CLIA Exp. Date: 10-02-2024

About GARDNER FAMILY MEDICINE, INC.

Gardner Family Medicine, Inc. is a primary care provider established in Gardner, Massachusetts operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1003011594 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 4 years ago. The organization 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.
Entity Type
Organization
Location Address
57 CITY HALL AVE GARDNER, MA 01440
Location Phone
(978) 630-3862
Location Fax
(978) 630-4176
Mailing Address
57 CITY HALL AVE GARDNER, MA 01440
Mailing Phone
(978) 630-3862
Mailing Fax
(978) 630-4176
Is Sole Proprietor?
N/A
Is Organization Subpart?
No
Enumeration Date
06-15-2007
Last Update Date
08-22-2020
Code Navigator

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 .

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1363A00000XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant

214124 (MA)

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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Anthem Blue Cross and Blue Shield

    • Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
    • Anthem Bronze Access Blue New England HMO 8500/50%/9450 - HMO
    • Anthem Gold Access Blue New England HMO 1000/20%/7500 - HMO
    • Anthem Gold Access Blue New England HMO 2000/0%/6500 RxD - HMO
    • Anthem Gold Access Blue New England HMO 2000/10%/4725 w/HSA - HMO
    • Anthem Gold Access Blue New England HMO 2000/10%/8000 - HMO
    • Anthem Gold Access Blue New England HMO 2000/10%/8000 WH - HMO
    • Anthem Gold Access Blue New England HMO 2000/20%/4725 w/HSA - HMO
    • Anthem Gold Access Blue New England HMO 3000/0%/5500 RxD - HMO
    • Anthem Gold Access Blue New England HMO 500/25%/7000 - HMO
    • Anthem Platinum Access Blue New England HMO 250/10%/3000 - HMO
    • Anthem Silver Access Blue New England HMO 2000/30%/9000 Value - HMO
    • Anthem Silver Access Blue New England HMO 3000/20%/8500 - HMO
    • Anthem Silver Access Blue New England HMO 3000/30%/9000 Value - HMO
    • Anthem Silver Access Blue New England HMO 3200/20%/7250 w/HSA - HMO
    • Anthem Silver Access Blue New England HMO 4000/0%/8500 - HMO
    • Anthem Silver Access Blue New England HMO 4000/0%/8500 RxD - HMO
    • Anthem Silver Access Blue New England HMO 4000/10%/7250 w/HSA - HMO
    • Anthem Silver Access Blue New England HMO 4000/20%/7250 w/HSA - HMO
    • Anthem Silver Access Blue New England HMO 4000/20%/8500 - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JENNIFER RYAN DO

Authorized Official Title
PRESIDENT
Authorized Official Phone
(978) 630-3862

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 this NPI number is:

CLIA Number
22D0978797
Facility Type
Physician Office
Certificate Effective Date
October 03, 2022
Certificate Expiration Date
October 02, 2024
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
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.

Reviews for GARDNER FAMILY MEDICINE, INC.

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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.
1003011594
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2003012518
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 = 44

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 Medicine57 CITY HALL AVE
GARDNER, MA 01440
(978) 630-3862
1386610863 AMANDA SPADAZZI M.D.
Individual
Family Medicine57 CITY HALL AVE
GARDNER, MA 01440
(978) 630-3862
1962577262MR. MATTHEW J ENOS PA
Individual
Physician Assistant (Medical)57 CITY HALL AVE
GARDNER, MA 01440
(978) 630-3862
1639442825MRS. CAROL ANNE FURNARI PA
Individual
Physician Assistant57 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
1730225582DR. JEFFREY D MOSER D.P.M.
Individual
Podiatrist57 CITY HALL AVE
GARDNER, MA 01440
(978) 630-3862
1104541432MISS CHELSEA LEE GAGNE FNP-C
Individual
Nurse Practitioner (Family)57 CITY HALL AVE
GARDNER, MA 01440
(978) 630-3862

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003011594, enumerated in the NPI registry as an "organization" on June 15, 2007

The provider is located at 57 City Hall Ave Gardner, Ma 01440 and the phone number is (978) 630-3862

This medical organization specializes in Family Medicine with taxonomy code 207Q00000X

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

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..

This NPI record 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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