Gardner Family Medicine, Inc.
NPI 1003011594ActiveOrganization· Physician Assistant· Gardner, MA
Physician Assistant in Gardner, Massachusetts, registered in NPPES in June 2007. The authorized official on file is Jennifer Ryan, DO, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1003011594 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 15, 2007 |
| Last updated in NPPES | Sep 11, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 214124 | MA |
| Family Medicine | 207Q00000X | 2141244 | MA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MA) |
|---|
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