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MARK A GARDNER DPM
NPI 1336131473
Podiatrist - Sports Medicine in Martinsburg, WV

Active since August 16, 2005PECOS Enrolled
510 BUTLER AVE, MARTINSBURG, WV 25405(304) 263-0811(800) 817-3807 Get Directions Write a Review

NPPES record last updated: November 25, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mark A Gardner Dpm NPPES

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

MARK A GARDNER DPM (NPI 1336131473) is an individual sports medicine provider in Martinsburg, West Virginia, licensed in Virginia (0103000917) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336131473
Entity TypeIndividualMale
Primary Taxonomy213ES0000X
Provider Legal NameMARK A GARDNERCredential: DPM
Location Address510 BUTLER AVEMartinsburg, WV 25405-9990
Mailing Address510 Butler AveMartinsburg, WV 25405-9990 · (304) 263-0811 · Fax (800) 817-3807
Phone(304) 263-0811
Fax(800) 817-3807
Sole ProprietorNo
Enumeration DateAugust 16, 2005
Last NPPES UpdateNovember 25, 2020
NPPES CertifiedNovember 25, 2020
✔ NPI 1336131473 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Sports MedicinePodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0000X
License✔ Licensed in VA · 0103000917
510 BUTLER AVE, Martinsburg, WV 25405
Open in Google Maps ↗

Other Identifiers 3

Other115888VA · Anthem Bc/bs
Other65326VA · Sentara
Other1215628VA · Cigna

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mark A Gardner Dpm 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.

DR. EURONE GRAHAM PHD, LCSW, DCSW
Social Worker (Clinical)
510 BUTLER AVE
MARTINSBURG, WV 25405
Berkeley County (304) 263-0811
JULIA L STREETS RN
Registered Nurse
510 BUTLER AVE, VA MEDICAL CENTER
MARTINSBURG, WV 25405
Berkeley County (304) 263-0811
JOY YIAN-LE CHOU PHARM. D.
Pharmacist
510 BUTLER AVE
MARTINSBURG, WV 25405
Berkeley County (304) 263-0811
MELISSA BANGLE PHD
Psychologist
510 BUTLER AVE
MARTINSBURG, WV 25405
Berkeley County (304) 263-0811
APPOLINAIRE AGBOR BESONG
Respiratory Therapist, Registered
510 BUTLER AVE
MARTINSBURG, WV 25405
Berkeley County (304) 263-0811
DR. HILLARY SENSABAUGH PHARMD
Pharmacist
510 BUTLER AVE
MARTINSBURG, WV 25405
Berkeley County (304) 263-0811
MS. JOANN Y ASHWORTH FNP-BC
Nurse Practitioner (Family)
510 BUTLER AVE, VA MEDICAL CENTER
MARTINSBURG, WV 25405
Berkeley County (304) 263-0811
COLLEEN AMANDA GITHENS RRT-ACCS,NPS
Respiratory Therapist, Registered
510 BUTLER AVE
MARTINSBURG, WV 25405
Berkeley County (304) 263-0811

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 Mark Gardner's NPI number?

The NPI number for Mark Gardner is 1336131473. It was assigned to this individual provider in the NPPES registry on August 16, 2005.

Where is Mark Gardner located?

Mark Gardner practices at 510 Butler Ave, Martinsburg, WV 25405. The listed phone number is (304) 263-0811.

What is Mark Gardner's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Sports Medicine, with taxonomy code 213ES0000X.

Is Mark Gardner enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Mark Gardner was last updated on November 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.