Michael P. Gardner, MD PC
NPI 1437330180ActiveOrganization· Urology· Tualatin, OR
Urology in Tualatin, Oregon, registered in NPPES in November 2007. The authorized official on file is Shelly Banta, Office Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1437330180 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 23, 2007 |
| Last updated in NPPES | Jan 8, 2024 |
| Certified by provider | Jan 8, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Urology Primary | 208800000X | MD22270 | OR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (OR) |
|---|
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