Dr. Ellis B Gardner, MD FAAP
Internal Medicine in Canaan, New Hampshire
1932130630- Practice location
- 18 Roberts RD, Canaan, NH 03741-7644
- Phone
- 603-934-1464
- Fax
- —
- Last updated
- December 8, 2025
Ellis Benjamin Gardner is an Internal Medicine based in Canaan, NH. Ellis Benjamin Gardner practices in Canaan, NH and has the professional credentials of MD FAAP. The NPI Number for Ellis Benjamin Gardner is 1932130630 and holds a License No. 10330 (NH). The current practice location address for Ellis Benjamin Gardner is 18 Roberts RD, Canaan, NH 03741-7644 and can be reached out via phone at 603-934-1464.
Provider Profile Details
- NPI Number
- 1932130630
- Provider Name
- Ellis Benjamin Gardner
- Credential
- MD FAAP
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 18 Roberts RD, Canaan, NH 03741-7644
- Phone Number
- 603-934-1464
- Primary Taxonomy
- Internal Medicine · 207R00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 5, 2006
- Last Update Date
- December 8, 2025
- Certification Date
- December 8, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 18 Roberts RD
Canaan, NH 03741-7644 - City
- Canaan
- State
- New Hampshire
- Zip
- 03741-7644
- Phone Number
- 603-934-1464
Provider Business Mailing Address Details
- Address
- 43 Caleb Dyer Ln
Mascoma Community Healthcare, INC.
Enfield, NH 03748-3551 - City
- Enfield
- State
- NH
- Zip
- 03748-3551
- Phone Number
- 802-673-5340
License Information
- License Number (1)
- 10330
- License State (1)
- NH
- Taxonomy (1)
- Internal Medicine · 207R00000X · Primary
- License Number (2)
- 10330
- License State (2)
- NH
- Taxonomy (2)
- Pediatrics · 208000000X
- License Number (3)
- 037734
- License State (3)
- CT
- Taxonomy (3)
- Pediatrics · 208000000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Internal Medicine providers near Canaan, NH
View all Internal Medicine providers in Canaan →- Frederick K Wiese, MDInternal Medicine · NPI 1194739672
- Mascoma Community Healthcare INCFamily Medicine · NPI 1497298087
- Mr. Justin J Godin, APRNNurse Practitioner, Family · NPI 1497285464
- Town Of CanaanAmbulance · NPI 1942767017
- Tami AyenPsychiatry & Neurology, Addiction Medicine · NPI 1922956309
- Mrs. Sarah J Carter, CF-SLPSpeech-Language Pathologist, · NPI 1275418956
Frequently Asked Questions
What is the NPI number of Dr. Ellis B Gardner, MD FAAP?
The NPI number of Dr. Ellis B Gardner, MD FAAP is 1932130630. It was assigned on July 5, 2006 and is currently active in the NPPES registry.
What is the specialty of Dr. Ellis B Gardner, MD FAAP?
Dr. Ellis B Gardner, MD FAAP is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in NH under license number 10330.
Where does Dr. Ellis B Gardner, MD FAAP practice?
The practice location is 18 Roberts RD, Canaan, NH 03741-7644. The office can be reached at 603-934-1464 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1932130630 directly on the NPPES registry website.