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GARDNER FAMILY MEDICINE, INC.
NPI 1003011594
Physician Assistant in Gardner, MA

Active since June 15, 2007CLIA 22D0978797 · Microscopy
57 CITY HALL AVE, GARDNER, MA 01440(978) 630-3862(978) 630-4176 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Gardner Family Medicine, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GARDNER FAMILY MEDICINE, INC. (NPI 1003011594) is a healthcare organization registered as a physician assistant in Gardner, Massachusetts and active in the NPI registry since June 2007. The organization holds a CLIA Microscopy certificate valid through October 2, 2026 and lists Jennifer Ryan, President, as its authorized official.

NPPES Registry Identity

NPI1003011594
Entity TypeOrganization
Primary Taxonomy363A00000X
Legal Business NameGARDNER FAMILY MEDICINE, INC.
Location Address57 CITY HALL AVEGardner, MA 01440-2614
Mailing Address57 City Hall AveGardner, MA 01440-2614 · (978) 630-3862 · Fax (978) 630-4176
Phone(978) 630-3862
Fax(978) 630-4176
Organization SubpartNo
Authorized OfficialJennifer RyanPresident · (978) 630-3862
Enumeration DateJune 15, 2007
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1003011594 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MA · 214124
Definition

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.

Also ListedFamily MedicineTaxonomy 207Q00000X · License 2141244 (MA)
57 CITY HALL AVE, Gardner, MA 01440
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 22D0978797

Gardner Family Medicine · Gardner, MA
Active · expires Oct 2, 2026
CLIA Number22D0978797
Laboratory TypePhysician Office
Certificate Effective DateOctober 3, 2024
Certificate Expiration DateOctober 2, 2026
Laboratory DirectorJennifer L. Ryan
Laboratory Phone(978) 630-3862
Laboratory LocationGardner Family Medicine57 City Hall Avenue, Gardner, MA 01440
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MISS CHELSEA LEE GAGNE FNP-C
Nurse Practitioner (Family)
57 CITY HALL AVE
GARDNER, MA 01440
Worcester County (978) 630-3862
AMANDA SPADAZZI M.D.
Family Medicine
57 CITY HALL AVE
GARDNER, MA 01440
Worcester County (978) 630-3862
JENNIFER RYAN D.O.
Family Medicine
57 CITY HALL AVE
GARDNER, MA 01440
Worcester County (978) 630-3862
MRS. CAROL ANNE FURNARI PA
Physician Assistant
57 CITY HALL AVE
GARDNER, MA 01440
Worcester County (978) 630-3862
DR. JEFFREY D MOSER D.P.M.
Podiatrist
57 CITY HALL AVE
GARDNER, MA 01440
Worcester County (978) 630-3862
MR. MATTHEW J ENOS PA
Physician Assistant (Medical)
57 CITY HALL AVE
GARDNER, MA 01440
Worcester County (978) 630-3862
ERIK WILLIAM WISNIEWSKI FNP
Nurse Practitioner (Family)
57 CITY HALL AVE
GARDNER, MA 01440
Worcester County (978) 630-3862

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gardner Family Medicine, Inc.'s NPI number?

The NPI number for Gardner Family Medicine, Inc. is 1003011594. It was assigned to this organization in the NPPES registry on June 15, 2007.

Where is Gardner Family Medicine, Inc. located?

Gardner Family Medicine, Inc. is located at 57 City Hall Ave, Gardner, MA 01440. The listed phone number is (978) 630-3862.

What is Gardner Family Medicine, Inc.'s specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Does Gardner Family Medicine, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 22D0978797) is associated with this NPI, valid through October 2, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Gardner Family Medicine, Inc. accept?

Health plans from Anthem Blue Cross and Blue Shield list Gardner Family Medicine, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Gardner Family Medicine, Inc. was last updated on September 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.