DR. SAMUEL S GIBSON


Address: 6259 W Emerald St, Boise, ID 83704-8731
Phone: 2084891900

DR. SAMUEL S GIBSON (NPI# 1275500738) 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) 1275500738
Entity Type Individual
Full Name DR. SAMUEL S GIBSON
Credential M.D.
Practice Address 6259 W Emerald St
Boise
ID 83704-8731
Practice Telephone 2084891900
Practice Fax Number 2083755286
Mailing Telephone 2084891900
Mailing Fax Number 2083755286
Enumeration Date 2006-03-03
Last Update Date 2011-09-01
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RG0100X Internal Medicine
Specialization: Gastroenterology
M5763 ID Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
ID 003710000 05

Other Providers SAMUEL GIBSON

NPI Name Taxonomy Address Enumeration
1134429806 Samuel Gibson Physician Assistant 791 Oak St, Hapeville, GA 30354-1748 2010-10-28
1386840742 Samuel W Gibson Radiology 700 S Park St, Madison, WI 53715-1830 2007-06-22
1205936796 Samuel Marlin Gibson Physical Therapist 610 N 8th St, Suite 6, Gunter, TX 75058-3586 2006-09-24
1881628311 Samuel A Gibson Physician Assistant 11277 Vernon Place, Suite 200, Meadville, PA 16335-3717 2006-07-10

Office Location

Street Address 6259 W EMERALD ST
City BOISE
State ID
Zip Code 83704-8731

Providers in the same location

NPI Name Taxonomy Address Enumeration
1730182205 June Reiling Nurse Practitioner 6259 W Emerald St, Suite 1, Boise, ID 83704-8731 2005-05-27
1376193151 Nicholas C Ryser Physician Assistant 6259 W Emerald St, Boise, ID 83704-8731 2019-09-13
1003282708 Nancy Jane L'heureux Nurse Practitioner 6259 W Emerald St, Boise, ID 83704-8731 2015-08-17
1275936981 Shaylan Pease Physician Assistant 6259 W Emerald St, Boise, ID 83704-8731 2014-10-08
1548671092 Rebecca Osterkamp Internal Medicine 6259 W Emerald St, Boise, ID 83704-8731 2014-05-17
1902195753 Bryan Basil Brimhall Internal Medicine 6259 W Emerald St, Boise, ID 83704-8731 2011-04-01
1316263601 Lauren Myer Shea Internal Medicine 6259 W Emerald St, Boise, ID 83704 2010-04-13
1750616249 Idaho Endoscopy Center LLC Clinic/Center 6259 W Emerald St, Boise, ID 83704-8731 2009-10-16
1518120179 Meghan Jankowski Internal Medicine 6259 W Emerald St, Boise, ID 83704-8731 2008-07-03
1326238981 Ashley Evans Internal Medicine 6259 W Emerald St, Boise, ID 83704-8731 2007-07-30
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1215535893 Laura Diggs Counselor 400 North Benjamin Lane, Suite 200, Boise, ID 83704 2020-10-15
1891304002 Tree City Family Dental Dentist 7301 W. Emerald St Ste. 102, Boise, ID 83704 2020-07-24
1982230710 Jessica Wynn Councell Midwife 1072 N Liberty St Ste 100, Boise, ID 83704 2020-03-12
1699307124 Isabel Burns Bruce Registered Nurse 777 N Raymond Street, Boise, ID 83704 2020-02-12
1558903328 Daring In Idaho, LLC Social Worker 413 N Allumbaugh Street, Suite 102, Boise, ID 83704 2019-10-14
1053960286 Kyle Hiromi Hatanaka Acupuncturist 9450 #120 Fairview Avenue, Boise, ID 83704 2019-09-10
1700447141 Katie Elizabeth Nichols Physician Assistant 1072 N Liberty St Ste 201, Boise, ID 83704 2019-06-26
1588164727 Cory Michael Sims Counselor 6550 W. Emerald St #112, Boise, ID 83704 2018-02-14
1477072270 Matthew Lee Love Non-emergency Medical Transport (VAN) 6933 W. Stratton St, Boise, ID 83704 2017-09-12
1942735949 Dalana Sue Thompson Counselor 9196 Emerald St Suite #130, Boise, ID 83704 2017-04-27
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Taxonomy Information

Taxonomy Code 207RG0100X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Gastroenterology

Taxonomy Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1679890057 Walter W Hair Internal Medicine 1402 N Promontory Rd, Boise, ID 83702-3040 2010-04-26
1184619165 Paul H Baehr Internal Medicine 425 W Bannock St, Boise, ID 83702-6035 2005-09-15
1679986400 Christopher W Hammerle Md Chtd Internal Medicine 425 W Bannock St, Boise, ID 83702-6035 2014-06-10
1760774483 Matthew R Sericati, M.d. Chartered Internal Medicine 425 W Bannock St, Boise, ID 83702-6035 2011-05-13
1588954101 Robert Alanson Lockwood Internal Medicine 425 W Bannock St, Boise, ID 83702 2011-04-15
1902195753 Bryan Basil Brimhall Internal Medicine 6259 W Emerald St, Boise, ID 83704-8731 2011-04-01
1831429802 Judith A. Woods, M.d., P.a. Internal Medicine 425 W Bannock St, Boise, ID 83702-6035 2010-01-13
1053641316 Richard F Uhlmann, Md Chartered Internal Medicine 425 W Bannock St, Boise, ID 83702-6035 2010-01-10
1518120179 Meghan Jankowski Internal Medicine 6259 W Emerald St, Boise, ID 83704-8731 2008-07-03
1275733370 Bonnie Kim Waite, M.d. Chartered Internal Medicine 425 W Bannock St, Boise, ID 83702-6035 2007-07-18
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Competitor

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City BOISE
Zip Code 83704

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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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