Miriam Clarke Gardner
Pediatrics | Female
Miriam Clarke Gardner is a Iowa City, Iowa based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Miriam Clarke Gardner is
1360 N Dodge St, Iowa City, Iowa - 52245-6104. She can be contacted on phone at
319-351-1448 and fax number 319-351-9367.
Miriam Clarke Gardner is a sole proprietor of her business.
NPI number (Unique professional ID) for Miriam Clarke Gardner is
1124040340 which was assigned by NPPES on 24 Jul, 2006 and it was last updated on 14 Oct, 2022.
Miriam Clarke Gardner license number is
33305 for Pediatrics (208000000X) in Iowa.
Miriam Clarke 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:
Miriam Clarke Gardner basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Miriam Clarke Gardner |
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| Gender : | Female |
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Business Address:
Miriam Clarke 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 : | 1360 N Dodge St
Iowa City, IA, 52245-6104
United States |
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| Phone Number : | 319-351-1448 |
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| Fax Number : | 319-351-9367 |
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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 : | 1124040340 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 24 Jul, 2006 |
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| Last Updated On : | 14 Oct, 2022 |
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Medicare Participation:
Miriam Clarke Gardner participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 9032585294 |
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| Medicare Enrollment ID : | I20221013001783 |
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| Primary Specialty : | Pediatric Medicine |
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| Medical School : | University Of North Carolina At Chapel Hill School Of Medicine |
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| Graduation Year : | 1981 |
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| Accepts Medicare? | Yes. Miriam Clarke Gardner accepts medicare insurance. |
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Group Practice Association:
Miriam Clarke 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 Miriam Clarke Gardner is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
|---|
| State University Of Iowa | 7618884230 | 1458 | 2593 Holiday Rd
Coralville, IA - 522412781
Ph: 3193391231 | Yes |
| State University Of Iowa | 7618884230 | 1458 | 1360 N Dodge St
Ui Health Care North Dodge
Iowa City, IA - 522456104
Ph: 3196788201 | 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 Miriam Clarke Gardner are as mentioned. Primary taxonomy code for Miriam Clarke Gardner is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 33305 | IA |
Legacy Identifiers:
Other legacy medical identifiers of Miriam Clarke Gardner such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| D04557 | MEDICARE UPIN | | |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
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2593 HOLIDAY RD,
CORALVILLE, IA, 52241-2781
United States | CORALVILLE, IA | 319-339-1231 |
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 : | 200 Hawkins Dr
Iowa City, IA, 52242-1009
United States |
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Business Location:
Patients can refer following map for directions to
Miriam Clarke 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.