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

Mark R Gardner, MD

Individual provider Internal Medicine Physician · NPI 1114055787

Mark R Gardner, MD is an Internal Medicine Physician in East Chicago, Indiana. Practices as a sole proprietor. Licensed in Illinois and Indiana.

Licensed in
IL, IN
In the registry since
2007
Specialties on file
4
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

4321 Fir St Ste 313
East Chicago, IN 46312-3049
Phone: (219) 392-7424
Fax: (219) 392-7450
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Specialties & licences

Occupational Medicine Physician (primary) Taxonomy 2083X0100X · Licence 01059461A (IN)
Internal Medicine Physician Taxonomy 207R00000X · Licence 036068695 (IL)
Internal Medicine Physician Taxonomy 207R00000X · Licence 01059461A (IN)
Occupational Medicine Physician Taxonomy 2083X0100X · Licence 036068695 (IL)

Record details

NPI number1114055787
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 2, 2007
Last updated in NPPESOctober 13, 2017
Mailing address4321 Fir St Ste 313, St Catherine Occ Hlth, East Chicago, IN 46312-3049

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