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

Mark Anthony Gardon II

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1134707235

Mark Anthony Gardon II is an Internal Medicine in Louisville, Kentucky. Graduated from Kansas City University of Med & Biosciences, College of Osteo Med in 2021, 5 years ago. Practices with Community Medical Associates Inc, a 1,365-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
5
Trained at
Kansas City University of Med & Biosciences, College of Osteo Med
Licensed in
KY
In the registry since
2021
Specialties on file
2

Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Louisville, KY

Additional practice locations (1)

  • 550 S Jackson St # A3k00, Louisville, KY 40202-1622 — (502) 852-4277

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 05853 (KY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1134707235
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 30, 2021
Last updated in NPPESJuly 31, 2024
Certification dateJuly 31, 2024

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolKANSAS CITY UNIVERSITY OF MED & BIOSCIENCES, COLLEGE OF OSTEO MED
Graduated 2021 (5 years in practice)
Group practice Community Medical Associates Inc — 1365 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Louisville