GIBSON COMMUNITY HOSPITAL ASSOCIATION (NPI# 1134540750) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134540750 |
| Entity Type | Organization |
| Organization Name | GIBSON COMMUNITY HOSPITAL ASSOCIATION |
| Other Organization Name | GIBSON AREA HOSPITAL CARDIOLOGY |
| Practice Address |
10 Doctors Park Gibson City IL 60936-2009 |
| Practice Telephone | 2177842384 |
| Mailing Telephone | 2177842384 |
| Enumeration Date | 2013-12-27 |
| Last Update Date | 2013-12-27 |
| Authorized Official Name | ROBERT C SCHMITT II (CEO) |
| Authorized Official Telephone | 2177842611 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
0000836 | IL | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Gibson Area Hospital Cardiology | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295343374 | Gibson Community Hospital Association | Clinic/Center | 510 Prairie Ln Unit C, Cissna Park, IL 60924-9704 | 2020-07-15 |
| 1356884993 | Gibson Community Hospital Association | Clinic/Center | 510 Prairie Ln Unit B, Cissna Park, IL 60924-9710 | 2016-11-30 |
| 1508214404 | Gibson Community Hospital Association | General Practice | 104 S 3rd St, Fisher, IL 61843-9549 | 2016-06-01 |
| 1356779417 | Gibson Community Hospital Association | Clinic/Center | 106 E. State St, Potomac, IL 61865 | 2013-10-28 |
| 1548544679 | Gibson Community Hospital Association | Family Medicine | 221 Wal Crest Dr, Fairbury, IL 61739-8998 | 2011-10-07 |
| 1477570166 | Gibson Community Hospital Association | Pharmacy | 104 N. Sangamon Ave, Gibson City, IL 60936-1343 | 2006-07-17 |
| 1881676005 | Gibson Community Hospital Association | Clinic/Center | 705 S Dixie Hwy, Hoopeston, IL 60942-1904 | 2005-11-15 |
| 1972509701 | Gibson Community Hospital Association | Clinic/Center | 912 W Seminary Ave, Onarga, IL 60955-1401 | 2005-06-27 |
| 1992700595 | Gibson Community Hospital Association | Clinic/Center | 227 N Market St, Paxton, IL 60957-1123 | 2005-06-20 |
| 1306330477 | Gibson Community Hospital Association | Dentist | 1120 N Melvin St, Gibson City, IL 60936-1477 | 2018-06-21 |
| Street Address |
10 DOCTORS PARK |
| City | GIBSON CITY |
| State | IL |
| Zip Code | 60936-2009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154328805 | Lalchand T Goyal | Internal Medicine | 10 Doctors Park, Gibson City, IL 60936-2009 | 2005-07-07 |
| 1801439161 | Kacy Marie Murphy | Orthopaedic Surgery | 10 Doctors Park, Gibson City, IL 60936-2004 | 2019-10-18 |
| 1801313077 | Erin J. Miller | Physician Assistant | 10 Doctors Park, Gibson City, IL 60936-2004 | 2017-08-28 |
| 1821440405 | Sarah Hong-conder | Nurse Practitioner | 10 Doctors Park, Gibson City, IL 60936-2004 | 2016-07-07 |
| 1558724310 | Carrie Kirby | Nurse Practitioner | 10 Doctors Park, Gibson City, IL 60936-2004 | 2016-03-30 |
| 1285982249 | Gibson Area Hospital | General Acute Care Hospital | 10 Doctors Park, Gibson City, IL 60936-2009 | 2012-08-23 |
| 1154679108 | Gibson Area Hospital Therapy Services | General Acute Care Hospital | 10 Doctors Park, Gibson City, IL 60936-2009 | 2012-08-23 |
| 1790097582 | Jason Ye | Orthopaedic Surgery | 10 Doctors Park, Gibson City, IL 60936-2004 | 2010-07-08 |
| 1578799797 | Gibson Community Hospital Association | Specialist | 10 Doctors Park, Gibson City, IL 60936-2009 | 2009-06-02 |
| 1104008333 | Tyler Brucker | Specialist/Technologist | 10 Doctors Park, Gibson City, IL 60936-2009 | 2007-11-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073738738 | Carrie Ann Lithgow | Physical Therapist | 109 N. Sangamon Ave, Gibson City, IL 60936 | 2007-04-16 |
| 1144359001 | Kerrie Ann Patrick | Registered Nurse | 222 N Sangamon, Gibson City, IL 60936 | 2007-03-05 |
| 1578612800 | Donna J Boundy | Dentist | 627 E 8th St, Gibson City, IL 60936 | 2007-01-09 |
| 1093878241 | Drew Curtis Duquette | Chiropractor | 523 and One Half South Sangamon Ave, Gibson City, IL 60936 | 2006-12-19 |
| 1386727642 | Amnuay Sethakorn | Family Medicine | 4 Doctors Park, Gibson City, IL 60936 | 2006-10-23 |
| 1689687295 | Alexander V Grandt | Nurse Practitioner | 1120 N Melvin, Gibson Area Hospital & Health Services, Gibson, IL 60936 | 2006-08-14 |
| 1811125784 | Gibson Community Hospital Association | Surgery | 1 Doctors Park, Gibson City, IL 60936 | 2009-06-30 |
| 1295991701 | Trilok Shah | Psychiatry & Neurology | 4 Doctors Park, Gibson City, IL 60936 | 2008-08-04 |
| 1245312602 | Ginny E Pulley | Licensed Practical Nurse | 222 N Sangamon Ave, Gibson City, IL 60936 | 2006-10-19 |
| 1518065358 | Karen Marie Leenerman | Registered Nurse | 222 N Sangamon Ave, Gibson City Clinic Sc, Gibson City, IL 60936 | 2006-09-20 |
| Find all providers in zip 60936 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154328805 | Lalchand T Goyal | Internal Medicine | 10 Doctors Park, Gibson City, IL 60936-2009 | 2005-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528596350 | Stat Cardiologist Inc | Internal Medicine | 2425 W 22nd St Ste 209, Oak Brook, IL 60523-4655 | 2017-05-24 |
| 1306296074 | Safwan Gaznabi | Internal Medicine | Northshore University Healthsystem, Office of Academic Affairs 2650 Ridge Ave., Suite 1304, Evanston, IL 60201 | 2016-06-14 |
| 1154796290 | Ray Jean Pensinger | Internal Medicine | 105 S. Fleming Rd., Woodstock, IL 60098-7903 | 2015-12-01 |
| 1073905311 | Cardio Medical Center Sc | Internal Medicine | 7746 West Madison Ave, Forrest Park, IL 60131 | 2015-02-24 |
| 1427457399 | Charles Joseph Frahm | Internal Medicine | 1200 E Madison Park, Chicago, IL 60615-2961 | 2014-08-17 |
| 1225447725 | Jeremy R. Estrada | Internal Medicine | 5841 S Maryland Ave # Mc5841, Chicago, IL 60637-1447 | 2014-08-08 |
| 1285049197 | Nidhi Madan | Internal Medicine | 1717 W Congress Pkwy Ste 317, Chicago, IL 60612 | 2014-06-30 |
| 1295159184 | Ca Group, LLC | Internal Medicine | 4017 Illinois Route 159, Suite 101, Smithton, IL 62285 | 2014-02-12 |
| 1457788424 | Chicago Vascular Clinic Ltd | Internal Medicine | 812 E Woodfield Rd, Schaumburg, IL 60173-4714 | 2013-10-04 |
| 1942634688 | Vein Md Consultants, LLC | Internal Medicine | 1865 N. Eltnor Blvd., West Chicago, IL 60185-5900 | 2013-08-29 |
| Find all providers with the same taxonomy | ||||
| City | GIBSON CITY |
| Zip Code | 60936 |
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| 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.