Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Carlo Gardner

Individual provider Physician Assistant · NPI 1366908329

Carlo Gardner is a Physician Assistant in Williamsport, Pennsylvania. Qualified in 2018, 8 years ago. Practices with Susquehanna Physician Services, a 612-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Pennsylvania.

Years since qualifying
8
Licensed in
PA
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

740 High St Ste 2001 Ste 2001
Williamsport, PA 17701-3102
Phone: (570) 321-2800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence MA062850 (PA)
Physician Assistant Taxonomy 363A00000X · Licence OA004760 (PA)

Record details

NPI number1366908329
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 14, 2019
Last updated in NPPESMarch 23, 2023
Certification dateMarch 23, 2023
Mailing address1201 Grampian Blvd, Williamsport, PA 17701-1900

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Susquehanna Physician Services — 612 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Other providers in Williamsport