Gardocki, Raymond J
Gardocki, Raymond J is an individual health care provider with primary practice located at 3601 The Vanderbilt Clinic , Nashville TN 37232-2205. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine. Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine is his primary health care specialty. Gardocki, Raymond J can be contacted via phone (615) 936-2000.Contact Information
Primary practice address
3601 The Vanderbilt Clinic
Nashville TN 37232-2205
Phone: (615) 936-2000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 38132 | Tennessee |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine | 207XS0117X | 38132 | Tennessee |
Profile Details
| NPI number | 1235125931 |
|---|---|
| LBN Legal business name | Gardocki, Raymond J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 27th, 2005 |
| Last updated | Jan 17th, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235125931 | NPPES |
| Mississippi | MEDICAID | 09122578 | |
| Mississippi | MEDICAID | 165839001 | |
| Mississippi | MEDICAID | Q016960 |
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