Dr. Ellis Benjamin Gardner
MD FAAP | Pediatrics | Male
Dr. Ellis Benjamin Gardner, MD FAAP is a Enfield, New Hampshire based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Ellis Benjamin Gardner is
43 Caleb Dyer Ln, Mascoma Community Healthcare, Inc., Enfield, New Hampshire - 03748-3551. He can be contacted on phone at
802-673-5340.
Dr. Ellis Benjamin Gardner is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Ellis Benjamin Gardner is
1932130630 which was assigned by NPPES on 05 Jul, 2006 and it was last updated on 17 Mar, 2017.
Dr. Ellis Benjamin Gardner license number is
10330 for Pediatrics (208000000X) in New Hampshire.
Dr. Ellis Benjamin Gardner is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Ellis Benjamin Gardner basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Ellis Benjamin Gardner |
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| Credential : | MD FAAP |
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| Gender : | Male |
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Business Address:
Dr. Ellis Benjamin Gardner address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 43 Caleb Dyer Ln, Mascoma Community Healthcare, Inc.
Enfield, NH, 03748-3551
United States |
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| Phone Number : | 802-673-5340 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1932130630 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 05 Jul, 2006 |
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| Last Updated On : | 17 Mar, 2017 |
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Medicare Participation:
Dr. Ellis Benjamin Gardner participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 2163706227 |
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| Medicare Enrollment ID : | I20170309000863 |
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| Primary Specialty : | Pediatric Medicine |
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| Medical School : | Geisel School Of Medicine At Dartmouth |
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| Graduation Year : | 1996 |
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| Accepts Medicare? | Yes. Dr. Ellis Benjamin Gardner accepts medicare insurance. |
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Group Practice Association:
Dr. Ellis Benjamin Gardner is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Dr. Ellis Benjamin Gardner is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
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| Mascoma Community Healthcare Inc | 2466736525 | 3 | 18 Roberts Rd
Canaan, NH - 037417644
Ph: 6035234343 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Ellis Benjamin Gardner are as mentioned. Primary taxonomy code for Dr. Ellis Benjamin Gardner, MD FAAP is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 208000000X | Pediatrics | Yes | 10330 | NH |
| 208000000X | Pediatrics | No | 037734 | CT |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 43 Caleb Dyer Ln, Mascoma Community Healthcare, Inc.
Enfield, NH, 03748-3551
United States |
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| Phone Number : | 802-673-5340 |
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Business Location:
Patients can refer following map for directions to
Dr. Ellis Benjamin Gardner practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.