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

Jacob A Gardner, MD

Individual provider Diagnostic Radiology Physician · NPI 1992025654

Jacob A Gardner, MD is a Diagnostic Radiology in Hershey, Pennsylvania. Graduated from Temple University School of Medicine in 2009, 17 years ago. Practices with Florida Radiology Imaging at Lake Mary LLC, a 272-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
17
Trained at
Temple University School of Medicine
Licensed in
PA
In the registry since
2010
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

500 University Dr
Hershey, PA 17033-2360
Phone: (717) 531-8521
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence MD451895 (PA)

Record details

NPI number1992025654
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 4, 2010
Last updated in NPPESJuly 3, 2014
Mailing address500 University Dr, Hershey, PA 17033-2360

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolTEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2009 (17 years in practice)
Group practice Florida Radiology Imaging At Lake Mary Llc — 272 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations12 on file with Medicare

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