Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK A GARDNER, DPM
DeactivatedMARK A GARDNER, DPM is a Sports Medicine Podiatrist healthcare provider located in MARTINSBURG, West Virginia. NPI 1336131473 is deactivated in the NPPES registry. Verify at CMS.
Sports Medicine Podiatrist · MARTINSBURG, WV
This NPI has been deactivated.
The record was deactivated on March 22, 2006.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1336131473
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 16, 2005 (0.5972602739726 yrs)
- Last Updated
- Nov 25, 2020
- Deactivated
- Mar 22, 2006
- License
-
0103000917 (VA)
Practice Information
- Address
-
510 BUTLER AVEMARTINSBURG, WV, 254059990Browse WV providers · Browse ZIP 25405
- Phone
- 3042630811
- Fax
- 8008173807
- Primary Specialty
-
Sports Medicine Podiatrist
213ES0000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.