MARY ANN GARDNER M.D.
NPI 1154312387
Orthopaedic Surgery - Sports Medicine in Celebration, FL

Q: What is Mary Gardner's NPI number?

The NPI number for Mary Gardner is 1154312387. It was assigned to this individual provider in the NPPES registry on November 5, 2005.

Q: What is Mary Gardner's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Q: When was this NPI record last updated?

The NPPES record for Mary Gardner was last updated on January 5, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 05, 2005PECOS Enrolled

410 CELEBRATION PL, STE 300, CELEBRATION, FL 34747(321) 939-3300(321) 939-3303 Get Directions Write a Review

NPPES record last updated: January 5, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Mary Ann Gardner M.d. NPPES

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

MARY ANN GARDNER M.D. (NPI 1154312387) is an individual sports medicine provider in Celebration, Florida, licensed in Florida (ME 102236) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154312387

Entity TypeIndividualFemale

Primary Taxonomy207XX0005X

Provider Legal NameMARY ANN GARDNERCredential: M.D.

Location Address410 CELEBRATION PL, STE 300Celebration, FL 34747-5433

Mailing Address410 Celebration Pl, Ste 300Celebration, FL 34747-5433 · (321) 939-3300 · Fax (321) 939-3303

Phone(321) 939-3300

Fax(321) 939-3303

Sole ProprietorNo

Enumeration DateNovember 5, 2005

Last NPPES UpdateJanuary 5, 2010

✔ NPI 1154312387 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207XX0005X

License✔ Licensed in FL · ME 102236

Definition

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.

410 CELEBRATION PL, Celebration, FL 34747

Open in Google Maps ↗

Other Identifiers 8

Other8066149NH · Cigna Healthcare Of Nh

Medicare ID-Type UnspecifiedRE7862NH

Other4583146NH · Aetna

OtherP00160736NH · Railroad Medicare

Other417360099ME · Mainecare

Medicaid30204589NH

Other01Y007499NH01NH · Anthem Bcbs

Medicare UPINF89273

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Ann Gardner M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

KATHERINE HARRIGAN PERRY AU.D.

Audiologist

410 CELEBRATION PL, SUITE 100
CELEBRATION, FL 34747

Osceola County (321) 939-3000

MR. JOHN ANDRICH PA-C

Physician Assistant

410 CELEBRATION PL, SUITE 200
CELEBRATION, FL 34747

Osceola County (407) 303-4673

LUQMAN DABIRI MD

Obstetrics & Gynecology

410 CELEBRATION PL, SUITE 208
CELEBRATION, FL 34747

Osceola County (407) 566-2229

CELEBRATION OBSTETRICS AND GYNECOLOGY ASSOCIATES PA

Obstetrics & Gynecology

410 CELEBRATION PL, SUITE 208
CELEBRATION, FL 34747

Osceola County (407) 566-2229

DR. RICHARD RAOUL LOTENFOE M.D.

Urology

410 CELEBRATION PL, SUITE 203
CELEBRATION, FL 34747

Osceola County (407) 566-1105

KEITH CHAE KIM M.D.

Surgery

410 CELEBRATION PL, SUITE 401
CELEBRATION, FL 34747

Osceola County (407) 303-4658

LEAVITT MEDICAL ASSOCIATES OF FLORIDA INC

Dermatology

410 CELEBRATION PL, SUITE 301
CELEBRATION, FL 34747

Osceola County (407) 566-1616

ERIN LEIGH NOVO AUD

Audiologist

410 CELEBRATION PL, SUITE 100
CELEBRATION, FL 34747

Osceola County (321) 939-3000

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 Mary Gardner's NPI number?

The NPI number for Mary Gardner is 1154312387. It was assigned to this individual provider in the NPPES registry on November 5, 2005.

Where is Mary Gardner located?

Mary Gardner practices at 410 Celebration Pl Ste 300, Celebration, FL 34747. The listed phone number is (321) 939-3300.

What is Mary Gardner's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Mary Gardner enrolled in Medicare?

Yes. Mary Gardner is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mary Gardner was last updated on January 5, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.