DR. KENNETH WAYNE GIBSON (NPI# 1245241413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245241413 |
| Entity Type | Individual |
| Full Name | DR. KENNETH WAYNE GIBSON |
| Credential | DO |
| Practice Address |
124 E Main St Hulbert OK 74441-8902 |
| Mailing Address |
Po Box 751 Hulbert OK 74441-8902 |
| Practice Telephone | 9187723390 |
| Practice Fax Number | 9187721233 |
| Mailing Telephone | 9187723390 |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2019-06-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | OS9095 | FL | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | 2170 | OK | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336329770 | Kenneth Gibson | Massage Therapist | 1901 Brinson Rd, Unit P-2, Lutz, FL 33558-5176 | 2007-11-13 |
| 1154520518 | Kenneth Marvin Gibson | Counselor | 2231 Broad Blvd, Cuyahoga Falls, OH 44223-1411 | 2007-07-16 |
| 1669503751 | Kenneth P. Gibson | Dentist | 1871 Ne 163rd St, North Miami Beach, FL 33162-4805 | 2007-03-08 |
| 1508379116 | Kenneth Gibson | Technician | 4327 4th St Se Apt 3, Washington, DC 20032-3387 | 2017-11-06 |
| 1457548067 | Kenneth Richard Gibson IIi | Psychologist | 18471 Haggerty Rd, Northville, MI 48168-8513 | 2007-09-27 |
| Street Address |
124 E MAIN ST |
| City | HULBERT |
| State | OK |
| Zip Code | 74441-8902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972597680 | Northeastern Oklahoma Community Health Centers Inc | Clinic/Center | 124 E Main St, Hulbert, OK 74441-8902 | 2005-09-08 |
| 1316455504 | Deborah Davis | Nurse Practitioner | 124 E Main St, Hulbert, OK 74441-8902 | 2018-01-22 |
| 1134428592 | Kathy May Ritchie | Nurse Practitioner | 124 E Main St, Hulbert, OK 74441-8902 | 2011-03-23 |
| 1134312937 | Daphany Maricia Parker | Nurse Practitioner | 124 E Main St, Hulbert, OK 74441-8902 | 2007-08-24 |
| 1518070481 | Northeastern Oklahoma Community Health Centers Inc | Clinic/Center | 124 E Main St, Hulbert, OK 74441-8902 | 2006-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073153037 | Nusbah Cook | Technician | 3538 Highway 51, Hulbert, OK 74441 | 2020-01-08 |
| 1356532022 | Brian Eugene Cookson | Family Medicine | 26251 Hwy 82 Suite 1, Park Hill, OK 74441 | 2007-08-07 |
| 1356546196 | Cindy L Rogers | Specialist | 8539 Hwy 82, Hulbert, OK 74441 | 2007-06-20 |
| 1154423184 | Robert M Hurd Jr. | Pharmacist | 4039 W Banana Cove Rd, Hulbert, OK 74441 | 2006-09-01 |
| 1912447608 | Amanda Berg | Speech-Language Pathologist | 308 Ne 2nd St, Wagoner, OK 74441 | 2017-03-01 |
| 1952452005 | Hulbert Public Schools | Public Health or Welfare | 316 S. Rider, Hulbert, OK 74441-0188 | 2007-01-16 |
| 1235667833 | Bobbie Renee Stamps | Nurse Practitioner | 18216 S 410 Rd, Hulbert, OK 74441-1832 | 2017-05-25 |
| 1730681917 | Cheryl Huebner | Peer Specialist | 16192 N Meadowlark Ln, Hulbert, OK 74441-2108 | 2018-03-05 |
| 1700382215 | Karen Lynette Stopp | Peer Specialist | 9220 W 760 Rd, Hulbert, OK 74441-2607 | 2018-04-03 |
| 1003345869 | Shalah Larae Thompson | Counselor | 11486 Highway 51, Hulbert, OK 74441-2648 | 2017-06-06 |
| Find all providers in zip 74441 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447172 | Saints Medical Group, LLC | Family Medicine | 2749 Progressive Dr, Suite B, Edmond, OK 73034 | 2020-11-06 |
| 1346841673 | Nugenex Plus Aprn-cnp Pllc | Family Medicine | 13425 Deer Spring Dr, Piedmont, OK 73078-3001 | 2020-11-03 |
| 1235739764 | Pinnacle Family Health Care | Family Medicine | 2781 Washington Drive, Suite 101, Norman, OK 73069 | 2020-10-26 |
| 1548868573 | Kayla Lynn Birchfield | Family Medicine | 220 W Jackson St, Crescent, OK 73028-8908 | 2020-10-12 |
| 1164039632 | Axiom Medical Solutions, LLC | Family Medicine | 14132 Se 134th St, Oklahoma City, OK 73165-7669 | 2020-09-28 |
| 1174139554 | Crestcare Family Medicine,pllc | Family Medicine | 817 S Elm Pl Ste 104, Broken Arrow, OK 74012-5369 | 2020-09-21 |
| 1346855640 | Charger Health Group Pllc | Family Medicine | 511 N Aspen Ave, Broken Arrow, OK 74012-2220 | 2020-09-14 |
| 1952916645 | Brandi Suzanne Shell | Family Medicine | 26471 E 141st St S, Coweta, OK 74429-5517 | 2020-09-10 |
| 1730793696 | Osumc Professional Services LLC | Family Medicine | 112 W 5th Street, Okmulgee, OK 74447-0000 | 2020-09-08 |
| 1104437219 | L and M Investments LLC | Family Medicine | 6001 Nw 139th St, Oklahoma City, OK 73142-1919 | 2020-08-12 |
| Find all providers with the same taxonomy | ||||
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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.