MICHAEL S GIBSON (NPI# 1285199364) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285199364 |
| Entity Type | Individual |
| Full Name | MICHAEL S GIBSON |
| Practice Address |
850 Swing Ln Unit 1 Medford OR 97501-1790 |
| Mailing Address |
3587 Heathrow Way Medford OR 97504-4004 |
| Practice Telephone | 5416228592 |
| Practice Fax Number | 5416228593 |
| Mailing Telephone | 5418588170 |
| Mailing Fax Number | 5418588167 |
| Enumeration Date | 2019-02-04 |
| Last Update Date | 2020-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 503 Airport Rd Ste 102, Medford, OR 975044159 | 5418588170 | 5418588167 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225667868 | Michael Gibson | Pharmacist | 5674 Highway 11 E, Piney Flats, TN 37686-4461 | 2020-04-06 |
| 1952697781 | Michael Ryan Gibson | Physical Therapy Assistant | 122 Sandstone Dr Apt 12, Beckley, WV 25801-2843 | 2011-06-20 |
| 1881863355 | Michael Scott Gibson | Driver | 194 Jones Rd, Sneedville, TN 37869-3639 | 2008-02-28 |
| 1043496797 | Michael Bennie Gibson | Registered Nurse | 1142 Robin Hood Ln, Norman, OK 73072-7502 | 2008-01-11 |
| 1609071984 | Michael Jeremiah Gibson | Preventive Medicine | 401 Thompson Blvd, Union, SC 29379-1553 | 2007-06-18 |
| 1114090131 | Michael Gibson | Dentist | 424 E Center Avenue, Dorchester, WI 54425-0236 | 2006-11-16 |
| 1447246640 | Michael Spencer Gibson | Radiology | Nnmc, Radiology, 8901 Wisconsin Ave, Bethesda, MD 20889-0001 | 2005-09-22 |
| 1346249034 | Michael L Gibson | Anesthesiology | 505 S John Redditt Dr, Lufkin, TX 75904-3120 | 2005-07-15 |
| 1366907172 | Michael Gibson | Counselor | 1203 American Greeting Card Rd, Corbin, KY 40701-4811 | 2019-02-06 |
| 1114494994 | Michael Gibson | Case Manager/Care Coordinator | 1221 W Lakeview Ave, Pensacola, FL 32501-1857 | 2018-10-30 |
| Street Address |
850 SWING LN UNIT 1 |
| City | MEDFORD |
| State | OR |
| Zip Code | 97501-1790 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467756213 | Bartholomew Grady | Counselor | 850 Swing Ln Unit 1, Medford, OR 97501-1790 | 2011-01-07 |
| 1942814801 | Autumn Basil Case | Counselor | 850 Swing Ln Unit 1, Medford, OR 97501-1790 | 2020-09-08 |
| 1598394843 | Callie Mae Dippel | Counselor | 850 Swing Ln Unit 1, Medford, OR 97501-1790 | 2020-04-07 |
| 1275164485 | Roxanne Christine Ashworth | Counselor | 850 Swing Ln Unit 1, Medford, OR 97501-1790 | 2020-01-28 |
| 1861046542 | Spencer Hull | Counselor | 850 Swing Ln Unit 1, Medford, OR 97501-1790 | 2019-07-30 |
| 1891252813 | Chavala Bates | Counselor | 850 Swing Ln Unit 1, Medford, OR 97501-1790 | 2019-02-26 |
| 1346723715 | Catherine A Adams | Counselor | 850 Swing Ln Unit 1, Medford, OR 97501-1790 | 2018-09-12 |
| 1487143285 | Danielle R Jolley | Counselor | 850 Swing Ln Unit 1, Medford, OR 97501-1790 | 2018-05-07 |
| 1194274316 | Michael Moore | Counselor | 850 Swing Ln Unit 1, Medford, OR 97501-1790 | 2016-09-29 |
| 1386003853 | Ashlee Mcnerney | Counselor | 850 Swing Ln Unit 1, Medford, OR 97501-1790 | 2016-02-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366069494 | Brian Snapp | Counselor | 1191 Hazel St, Medford, OR 97501 | 2020-07-06 |
| 1477174761 | Corey Renfree | Counselor | 1191 Hazel Street, Medford, OR 97501 | 2020-04-28 |
| 1669012928 | One of A Kind Therapy LLC | Social Worker | 916 West 10th St #205, Medford, OR 97501 | 2020-01-14 |
| 1265993620 | Star Dialysis LLC | Clinic/Center | 50 Rossanley Dr, Medford, OR 97501 | 2019-03-28 |
| 1962972463 | Karen Elise Roertgen | Counselor | 328 So. Central Ave., Suite 204, Medford, OR 97501 | 2018-11-28 |
| 1316458813 | Rick's Medical Supply, Inc | Durable Medical Equipment & Medical Supplies | 562 Parsons Drive, Suite 114, Medford, OR 97501 | 2017-10-24 |
| 1750807111 | La Clinica Del Valle Family Health Care Center Inc. | Clinic/Center | 821 N Riverside Ave, Medford, OR 97501 | 2017-08-17 |
| 1992229009 | Cassandra Schultz | Massage Therapist | 824 East Jackson, Suite A, Medford, OR 97501 | 2017-07-31 |
| 1972962355 | Robin Clevenger | Peer Specialist | 301 S Ivy St, Medford, OR 97501 | 2016-02-15 |
| 1154706984 | Debbie Diane Orr | Behavioral Analyst | 1024 West 9th Street, Medford, OR 97501 | 2015-07-22 |
| Find all providers in zip 97501 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952911091 | Araceli Olivares Mciff | Counselor | 201 W 6th St Ste 101, Medford, OR 97501-2708 | 2020-08-04 |
| 1366069494 | Brian Snapp | Counselor | 1191 Hazel St, Medford, OR 97501 | 2020-07-06 |
| 1477174761 | Corey Renfree | Counselor | 1191 Hazel Street, Medford, OR 97501 | 2020-04-28 |
| 1326674417 | Jean Yih Kingston | Counselor | Dcs Mental Health Medford, 151 Mystic Avenue, Medford, MA 02155-4632 | 2020-03-20 |
| 1063059228 | Chiron Center Incorporated | Counselor | 2909 N Phoenix Rd, Medford, OR 97504-9490 | 2019-12-06 |
| 1790321784 | Cassandra F Lawrence | Counselor | 1503 Race Ave, Medford, NY 11763-1859 | 2019-11-25 |
| 1427691955 | Claire Elizabeth Ann Vos | Counselor | 807 Impala Dr, Medford, WI 54451-1206 | 2019-10-28 |
| 1033768718 | Hope Koram | Counselor | 15 Carberry St, Medford, MA 02155-1804 | 2019-09-05 |
| 1649767203 | Kerry Ellis | Counselor | 190 High St Apt 210, Medford, MA 02155-3810 | 2018-04-19 |
| 1942701271 | Winding Tree Counseling Services LLC | Counselor | 916 W 10th St Ste 100, Medford, OR 97501-3018 | 2018-02-22 |
| Find all providers in MEDFORD | ||||
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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.