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Dr. Gabriel Cardenas JR.

Foot & Ankle Surgery

6810 State Route 162 Suite 20
Maryville , Illinois 62062-8587

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Dr. Gabriel Cardenas JR.

Foot & Ankle Surgery

6810 State Route 162 Suite 20
Maryville , Illinois 62062-8587

(618) 514-1308

Write a Review Save Call

Dr. Gabriel Cardenas JR.

Foot & Ankle Surgery

6810 State Route 162 Suite 20
Maryville , Illinois 62062-8587

(618) 514-1308 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Foot & Ankle Surgery

Languages spoken

  • English

Location

6810 State Route 162 Suite 20 Maryville , Illinois 62062-8587

First Address

  • Dr. Gabriel Cardenas JR.
  • 521 Meadow Glen Ct
  • House Springs, MO
  • Zip : 63051-4320
  • Phone : (618) 514-1308

Second Address

  • Dr. Gabriel Cardenas JR.
  • 6810 State Route 162 Suite 20
  • Maryville, IL
  • Zip : 62062-8587
  • Fax : (618) 288-6162
  • Phone : (618) 288-2835

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FAQs


Where did Dr. Gabriel Cardenas JR. attend graduate school?

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Where did Dr. Gabriel Cardenas JR. do his residency?

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Where did Dr. Gabriel Cardenas JR. do his fellowship?

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Is Dr. Gabriel Cardenas JR. board certified?

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What type of doctor is Dr. Gabriel Cardenas JR.

Foot & Ankle Surgery

In what state does Dr. Gabriel Cardenas JR. practice in?

Illinois

Where is Dr. Gabriel Cardenas JR.’s practice located?

6810 State Route 162 Suite 20 , Maryville, Illinois, 62062-8587

What is Dr. Gabriel Cardenas JR.’s gender?

Male

Is Dr. Gabriel Cardenas JR. a sole practitioner?

No

Is Dr. Gabriel Cardenas JR. accepting new patients?

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What languages does Dr. Gabriel Cardenas JR. speak?

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Does Dr. Gabriel Cardenas JR. accept insurance?

Yes, Dr. Gabriel Cardenas JR. accepts insurance

Does Dr. Gabriel Cardenas JR. offers telemedicine?

Dr. Gabriel Cardenas JR. has not indicated if he offers telemedicine

What is Dr. Gabriel Cardenas JR.’s professional license number?

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What is Dr. Gabriel Cardenas JR.’s NPI number?

1043521719

Does Dr. Gabriel Cardenas JR. have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 213ES0103X Foot & Ankle Surgery 016.005608 IL
N 213ES0103X Foot & Ankle Surgery 2010021578 MO

National Provider Identifier

NPI 1043521719
Provider Name Dr. Gabriel Cardenas JR.
First Address House Springs, MO 63051-4320
Second Address Maryville, IL 62062-8587
Gender M
NPI Entity type Individual
Is Sole Proprietor Yes
Is Organization Subpart N/A
Enumeration Date 28/06/2010
Last Update Date 17/11/2016

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
F100153987 (02) IL
F100153987 MEDICARE GROUP PTAN (01) IL

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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