Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1568458701 Individual Practitioner Male Practitioner

Dr. Scott Allan Gardner , MD

Surgery • Centerville, OH

Professional Overview & Biography Verified Profile Summary

Dr. Scott Gardner, MD is a registered healthcare professional specializing in Surgery in Centerville, OH. Practice services are available at 175 E ALEX BELL RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

175 E Alex Bell Rd
Suite 212

Centerville, OH 45459

Telephone 5092543121
Fax 9379994174

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Centerville, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.9 Yrs
State Avg: 24.9 Yrs
Regional Practice Density
9 Specialists

Practicing in Centerville, OH (1313 Statewide)

Telehealth Adoption Rate
11.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License OH 35.054539

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery

NUCC Taxonomy Code: 208600000X

State License OR MD16480

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery

NUCC Taxonomy Code: 208600000X

State License ID M9619

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery

NUCC Taxonomy Code: 208600000X

State License WA MD00046059

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1013432 (WA)
Medicaid State Provider ID
1568458701 (ID)
Medicaid State Provider ID
012554 (OR)
Commercial Insurance / Payer ID Medicare Rr - Wa
P00815199 (WA)
Commercial Insurance / Payer ID Dmerc
1134119 (ID)
Commercial Insurance / Payer ID Regence Blueshield Of Idaho
1568458701 (ID)
Commercial Insurance / Payer ID Medicare -Rr - Idaho
P00349485 (ID)
Commercial Insurance / Payer ID Labor & Industry
0212253 (WA)
Commercial Insurance / Payer ID Blue Cross
76714 (ID)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
John Forman , PTA

Physical Therapy Assistant

NPI 1952135394

Physical Therapist Assistant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location September 16, 2024

Registered at 175 E ALEX BELL RD, SUITE 212, CENTERVILLE, OH 45459 (Tel: 5092543121)

📍
Updated Business Mailing Address September 16, 2024

Registered at 175 E ALEX BELL RD, SUITE 212, CENTERVILLE, OH 45459 (Tel: 5092543121)

👤
Provider Name / Credentials Updated September 16, 2024

Recorded as SCOTT GARDNER, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 16, 2024

Surgery (License #MD16480 in OR)

NPI Profile Active October 30, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location October 30, 2012

Registered at 2315 8TH ST, LEWISTON, ID 835017301 (Tel: 2082989030)

📍
Updated Business Mailing Address October 30, 2012

Registered at 2315 8TH ST, LEWISTON, ID 835017301 (Tel: 2082983093)

👤
Provider Name / Credentials Updated October 30, 2012

Recorded as SCOTT GARDNER, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 30, 2012

Surgery (License #M9619 in ID)

🟢
Initial NPI Registration & Enumeration September 22, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1568458701
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 22, 2005
Last Update: September 16, 2024
Sole Proprietor: No

Mailing Address

175 E Alex Bell Rd, Suite 212

Centerville, OH 45459

Phone: 5092543121

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.