CARYN GIBSON


Address: 325 Winding River Ln, Suite 102, Charlottesville, VA 22911-3568
Phone: 4348172442

CARYN GIBSON (NPI# 1053662775) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053662775
Entity Type Individual
Full Name CARYN GIBSON
Credential PA-C
Practice Address 325 Winding River Ln
Suite 102
Charlottesville
VA 22911-3568
Practice Telephone 4348172442
Mailing Telephone 4348172442
Enumeration Date 2012-09-20
Last Update Date 2012-09-20
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
0110003094 VA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 325 WINDING RIVER LN
SUITE 102
City CHARLOTTESVILLE
State VA
Zip Code 22911-3568

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1508252982 Alexandra M Bender Family Medicine 3263 Proffit Rd Ste 201, Charlottesville, VA 22911 2015-04-13
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1346737483 Nikki D Ralston Physician Assistant 415 Ray C Hunt Dr Suite 3100, Charlottesville, VA 22908-2980 2018-04-14
1811139298 Linda Lee Schwartz Physician Assistant 1215 Lee Street Nicu, Charlottesville, VA 22908-0001 2009-03-31
1194913509 Ruth Morsch Physician Assistant U Va Dept of Student Health, Brandon Ave., Charlottesville, VA 22908-0001 2007-10-10
1609374313 Stephanie Rowe Physician Assistant 500 Martha Jefferson Dr, Charlottesville, VA 22911-4668 2018-01-28
1649792227 Grace O'brien Johnson Physician Assistant 2335 Seminole Ln Ste 200, Charlottesville, VA 22901 2017-07-14
1962947507 Caleb Booth Physician Assistant 1215 Lee St, Charlottesville, VA 22908-0816 2017-01-05
1003368374 Nicole Frank Physician Assistant 1215 Lee St, 7th Floor, Charlottesville, VA 22908-0001 2016-11-02
1801214473 Chelsea M Frame Physician Assistant 1 Hospital Dr Fl 3, Charlottesville, VA 22908-0001 2014-04-01
1538468517 Johanna A. Claasen Physician Assistant 1410 Rolkin Ct, Suite 101, Charlottesville, VA 22911-3587 2011-03-16
1740585280 James Shorten Physician Assistant 545 Ray C. Hunt Drive, Ste 310, Charlottesville, VA 22903-0001 2011-01-13
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Competitor

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City CHARLOTTESVILLE
Zip Code 22911

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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