npidexNPI registry + Medicare data

DYLAN GARDNER, PA-C

Physician Assistant · STILLWATER, OK

Individual Active NPI 1710761812

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Physician Assistant363A00000X✓5704OK
Student in an Organized Health Care Education/Training Program390200000X——

Medicare eligibility

Part B
Yes
DME
Yes
Home health
Yes
Power mobility
Yes
Hospice
No

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.