Individual provider
GEORGE GLENN GARDNER, PA-C
CMS NPPES lists GEORGE GLENN GARDNER as an individual provider record with NPI 1386885648. The current record reports a primary practice location in ADRIAN, MO and primary taxonomy code 363A00000X.
Type 1 NPIs identify individual healthcare providers. How to read this profile
01
Practice locations
- Primary practice location102 E. MAIN STADRIAN, MO 647209207
Only source-designated practice locations are shown here. Mailing addresses are not presented as practice locations.
02
Taxonomy information
363A00000XPrimary reported taxonomy
Taxonomy codes describe provider classifications reported to NPPES. Repeated identical codes are shown once, with primary-reported status preserved. They are not licenses, certifications, quality measures, or NPIFolio specialty labels. Read the taxonomy methodology.
03
NPI record information
- NPI status
- Enumerated in NPPES
- Enumeration date
- March 17, 2009
An NPI is a federal identifier. Enumeration and lifecycle information does not establish medical-license status, current practice, disciplinary history, provider quality, or whether a provider is accepting patients.