Jon B Gardner, MD
Internal Medicine in Walla Walla, WA. Individual provider (NPI-1).
NPI number1447264841
StatusActive
Last updated in NPPESMay 20, 2021
Details
- NPI
- 1447264841
- Entity type
- Individual (NPI-1)
- Name
- Jon B Gardner
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 28, 2006
- Certification date
- May 20, 2021
- Last updated
- May 20, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - INTERNAL MEDICINE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | MD00033931 | WA | Yes |
Practice location
380 Chase StInternal Medicine
Walla Walla, WA 99362
Phone 509-525-8110 · Fax 509-522-5743
Mailing address
Po Box 34439Seattle, WA 98124-1439
Is something wrong?
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