Dr. Scott Allan Gardner, MD
Dr. Scott Allan Gardner is a Surgery Physician provider (Surgery) practicing in Centerville, OH, registered in the NPPES registry with NPI 1568458701 since 2005. The credential MD stands for Doctor of Medicine.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1568458701 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Dr. Scott Allan Gardner |
| Credential | MD |
| Sex | Male |
| Practice address | 175 E ALEX BELL RD, SUITE 212, Centerville, OH, 45459 |
| Phone | 5092543121 |
| Fax | 9379994174 |
| Enumeration date | 2005-09-22 |
| Last updated in NPPES | 2024-09-16 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 208600000X | Surgery Physician | Secondary | MD16480 | OR |
| 208600000X | Surgery Physician | Secondary | M9619 | ID |
| 208600000X | Surgery Physician | Secondary | MD00046059 | WA |
| 208600000X | Surgery Physician | Primary | 35.054539 | OH |
MD — Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568458701 | Other | ID | REGENCE BLUESHIELD OF IDAHO |
| 1568458701 | Medicaid | ID | — |
| 0212253 | Other | WA | LABOR & INDUSTRY |
| 76714 | Other | ID | BLUE CROSS |
| P00815199 | Other | WA | MEDICARE RR - WA |
| 012554 | Medicaid | OR | — |
| 1013432 | Medicaid | WA | — |
| 1134119 | Other | ID | DMERC |
| P00349485 | Other | ID | MEDICARE -RR - IDAHO |
Copy-ready billing details
Provider: Scott Gardner, MD NPI: 1568458701 Taxonomy: 208600000X (Surgery Physician) Address: 175 E ALEX BELL RD, SUITE 212, Centerville, OH, 45459
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1952135394 | John Forman | Individual | Physical Therapy Assistant | Centerville, OH |
Verify this record
Cross-check NPI 1568458701 against the authoritative CMS record: view Dr. Scott Allan Gardner on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2024-09-16.