KERRI LYN GIBSON


Address: 4100 W 3rd St Bldg 340, Dayton, OH 45428-9000
Phone: 9372686511

KERRI LYN GIBSON (NPI# 1104124221) 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) 1104124221
Entity Type Individual
Full Name KERRI LYN GIBSON
Credential M.D.
Practice Address 4100 W 3rd St Bldg 340
Dayton
OH 45428-9000
Practice Telephone 9372686511
Mailing Telephone 9372686511
Enumeration Date 2011-03-14
Last Update Date 2020-07-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 35.096519 OH Allopathic & Osteopathic Physicians

Office Location

Street Address 4100 W 3RD ST BLDG 340
City DAYTON
State OH
Zip Code 45428-9000

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1407414527 Punyawat Laohakanjanasiri Dentist Dayton Va Medical Center/dental Services, 4100 W Third, Dayton, OH 45428 2019-06-04
1942716303 John Korea Lee Pharmacist 4100 W. 3rd Street, Attn: Pharmacy Call Center 408pcc, Dayton, OH 45428 2017-12-21
1366876138 Amber J Enterline Pharmacist 4100 W 3rd Street, Attn Pharmacy, Dayotn, OH 45428 2013-08-28
1114155793 Jeffrey Michael Munn Dentist 4100 West 3rd St., Dayton V.a. Medical Center, Dayton, OH 45428 2009-06-23
1558516724 Tawnyell Nikko Culpepper Social Worker 4100 Va Medical Center, Social Work Department Suite 122, Trotwood, OH 45428 2008-12-01
1255586376 Prasad V Venkat Physical Therapist 4100 W.third Street, Dayton, OH 45428 2008-11-18
1457435687 Reba E Crowell Nurse Practitioner 4100 West 3rd Street, Dayton, OH 45428 2006-10-24
1386728632 Alicia Joann Weekes-johnson Counselor 4100 W Third St. Mhlc Bldg 302, Veterans Administration Medical Center, Dayton, OH 45428 2006-10-24
1497843049 Margaret Irene Kruckemeyer Nurse Practitioner 4100 West Third Street (117), Va Medical Center, Dayton, OH 45428 2006-10-10
1003902545 Mohamed Elmouelhi Internal Medicine 4100 W.third St., Dayton Vamc (11c), Dayton, OH 45428 2006-10-04
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1629616891 Nicole Elizabeth Miller Family Medicine 7282 Chateauroux Dr Apt A, Dayton, OH 45459-5382 2019-12-18
1770095382 Nancy Louise Hall Family Medicine 1 Elizabeth Pl Ste 260, Dayton, OH 45417-3445 2017-11-05
1487181574 Caitlyn Anne Frantz Family Medicine 6255 Chambersburg Rd Ste 2, Dayton, OH 45424 2017-05-19
1689054223 Jessica Ezinne Ugwu Family Medicine 30 E Apple St., Suite Nw 3300, Dayton, OH 45409 2015-06-08
1215314125 Tracy Fong Family Medicine 2261 Philadelphia Drive, Dayton, OH 45406 2015-04-29
1730519059 Medstaffpc Family Medicine 119 1/2 Bryan St, Dayton, TX 77535-2661 2013-11-22
1962844480 Claire Eleanore Cappel Family Medicine 4266 Upham Rd, Dayton, OH 45429-1620 2013-07-25
1851662092 New Phoenix Family Medicine 11161 Ashbury Meadows Dr, Dayton, OH 45458-6403 2012-01-19
1700165081 Torben Svendsen Family Medicine 7794 Rhea County Hwy Ste 102, Dayton, TN 37321-5981 2011-08-04
1104152370 Ronald Eugene Wolf Family Medicine 3483 Westbury Rd, Dayton, OH 45409-1247 2009-10-23
Find all providers in DAYTON

Competitor

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City DAYTON
Zip Code 45428

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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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