LARRY GIDEON, M D


Address: 609 Bunnell M 19, Memphis, MI 48041
Phone: 8103922192

LARRY GIDEON, M D (NPI# 1255533386) 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) 1255533386
Entity Type Organization
Organization Name LARRY GIDEON, M D
Practice Address 609 Bunnell M 19
Memphis
MI 48041
Practice Telephone 8103922192
Mailing Telephone 8103922192
Enumeration Date 2007-06-01
Last Update Date 2020-08-22
Authorized Official Name LARRY GIDEON (PRESIDENT)
Authorized Official Telephone 8103922192
Authorized Official Credential M D
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine LG407549 MI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MI STATE LICENCE LG407549 01

Office Location

Street Address 609 BUNNELL M 19
City MEMPHIS
State MI
Zip Code 48041

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1184647216 Nicola Iosif Jaksa Chiropractor 35040 Helze Lane, Memphis, MI 48041 2006-07-26
1881165140 Jillian Rosemary Suminski Peer Specialist 400 Stoddard Rd., Memphis, MI 48041 2018-12-16
1144749128 Laura Elizabeth Taylor Technician/Technologist 3111 Electric Ave., Port Huron, MI 48041 2017-09-11
1811043466 Jeffrey Michael Steenbergh Social Worker 400 Stoddard Rd, Memphis, MI 48041 2007-01-26
1891881561 Pamela Jones Licensed Practical Nurse 400 Stoddard Rd, Memphis, MI 48041 2006-10-04
1780789578 Mary Ann Golish Counselor 400 Stoddard Road, Memphis, Memphis, MI 48041 2006-09-14
1699878728 Sacred Heart Residential Treatment Facility, Emotionally Disturbed Children 400 Stoddard Rd., Memphis, MI 48041 2006-09-06
1154424455 Gerald Charles Zemens Counselor 400 Stoddard Road, Box 41038, Memphis, MI 48041 2006-09-06
1235225863 Billie Fay Deke Licensed Practical Nurse 400 Stoddard, Memphis, MI 48041-1038 2006-10-04
1245333517 Frances Louise Deponio Counselor 400 Stoddard Ave., Memphis, MI 48041-1038 2006-09-05
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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
1568069201 Warren Hilliard Family Medicine 7625 Hwy64, 107, Memphis, TN 38133 2020-10-06
1144835539 Memphis Family Care Family Medicine 5818 Winchester Rd, Memphis, TN 38115-4711 2020-09-11
1538772868 Longmire Health Group Family Medicine 1331 Union Ave Ste 1024, Memphis, TN 38104-7509 2020-08-26
1912526088 Sanitas Medical Center of Tennessee PC Family Medicine 1200 E Raines Rd, Suite 101, Memphis, TN 38116 2020-04-09
1508496829 Courtney Cordo Family Medicine 5901 Shelby Oaks Dr Ste 100, Memphis, TN 38134-7328 2020-01-26
1801431499 Geriatric and Hospice Associates of The Mid South Pllc Family Medicine 6025 Walnut Grove Rd Ste 317, Memphis, TN 38120-2131 2019-11-07
1831627280 Humanity LLC Family Medicine 451 S Perkins Rd Apt 2, Memphis, TN 38117-3952 2017-05-30
1366979098 Cross Medical Primary Care Family Medicine 6222 E. Shelby Drive, Memphis, TN 38141 2017-05-12
1619403870 Cross Medical Primary Care Family Medicine 6222 East Shelby Drive, Memphis, TN 38141 2017-05-10
1417304569 John Clark Shell Family Medicine 150 Harbor Creek Dr, Memphis, TN 38103 2016-05-18
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City MEMPHIS
Zip Code 48041

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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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