DR. JORDAN HEATH GIPSON (NPI# 1366821357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366821357 |
| Entity Type | Individual |
| Full Name | DR. JORDAN HEATH GIPSON |
| Credential | M.D. |
| Practice Address |
3551 Roger Brooke Drive Mche/me Jbsa Fort Sam Houston TX 78234 |
| Practice Telephone | 2109160808 |
| Mailing Telephone | 2109160808 |
| Enumeration Date | 2015-05-22 |
| Last Update Date | 2019-09-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 2019032244 | MO | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | 0101261725 | VA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 100 Medical Plz, Lake St Louis, MO 633671366 | 6366255200 | |
| 12303 De Paul Dr, Bridgeton, MO 630442512 | 3143446000 | 3143446840 |
| 6420 Clayton Rd, Richmond Heights, MO 631171811 | 3147688000 | 3147688011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215496898 | Jordan Gipson | Behavior Technician | 3230 E Imperial Hwy, Suite 203, Brea, CA 92821 | 2019-03-13 |
| Street Address |
3551 ROGER BROOKE DRIVE MCHE/ME |
| City | JBSA FORT SAM HOUSTON |
| State | TX |
| Zip Code | 78234 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528694114 | Maria Marmarou Hornberger | Student in an Organized Health Care Education/Training Program | 3551 Roger Brooke Drive, Jbsa Fort Sam Houston, TX 78234 | 2020-03-16 |
| 1205363074 | Alex Leor Shapiro | Emergency Medicine | 3551 Roger Brooke Drive, Mche/me, Jbsa Fort Sam Houston, TX 78234 | 2017-05-11 |
| 1174059323 | Shannon Nicole Thompson | Emergency Medicine | 3551 Roger Brooke Drive, Mche-zqq (credentials), Jbsa Fort Sam Houston, TX 78234-4504 | 2017-05-10 |
| 1407382658 | Brittany Ashleigh Marie Hackett | General Practice | 3551 Roger Brooke Drive, Mche/me, Jbsa Fort Sam Houston, TX 78234 | 2017-05-10 |
| 1194259481 | Gary Craig Jarvis | General Practice | 3551 Roger Brooke Drive, Mche/me, Jbsa Fort Sam Houston, TX 78234 | 2017-04-13 |
| 1649701921 | Hannah Leigh Gale | General Practice | 3551 Roger Brooke Drive, San Antonio Military Medical Center, Pediatric Program, Jbsa Fort Sam Houston, TX 78234 | 2017-03-27 |
| 1225577539 | Stuart Davidson | General Practice | 3551 Roger Brooke Drive, San Antonio Military Medical Center Mche-zso, Ortho, Jbsa Fort Sam Houston, TX 78234-4504 | 2017-02-20 |
| 1538513478 | Christopher Michael Stringer | General Practice | 3551 Roger Brooke Drive, Mche/me, Jbsa Fort Sam Houston, TX 78234 | 2016-04-18 |
| 1447610100 | Marshall Hill | General Practice | 3551 Roger Brooke Drive, Mche/me, Jbsa Fort Sam Houston, TX 78234 | 2016-02-24 |
| 1811379613 | Roy S. Norris | Internal Medicine | 3551 Roger Brooke Drive, Mche-zdm-c Cardiology Service, Jbsa Fort Sam Houston, TX 78234-4504 | 2015-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255942884 | Thomas Ballas | Student in an Organized Health Care Education/Training Program | 3551 Roger Brooke Drive Jbsa-fort Sam Houston, Department of Behavioral Medicine-mche-dbm, San Antonio, TX 78234 | 2020-08-17 |
| 1124657366 | Wendy Harris | Pharmacist | 3041 Garden Ave, Fort Sam Houston, TX 78234 | 2020-04-08 |
| 1215564729 | Travis Frantz | Student in an Organized Health Care Education/Training Program | 3551 Rodger Brooke Drive, Jbsa Fort Sam Houston, TX 78234 | 2020-03-25 |
| 1508492695 | Matthew Grossmann | Student in an Organized Health Care Education/Training Program | San Antonio Military Medical Center, Mche-zdm-m, Internal Medicine Residency, 3551 Roger Brooke Dr., Jbsa-fort Sam Houston, TX 78234 | 2020-03-20 |
| 1235793407 | Jessica Maria May Franklin | Student in an Organized Health Care Education/Training Program | 3551 Roger Brooke Drive Jbsa Fort Sam Houston, San Antonio, TX 78234 | 2019-04-23 |
| 1730663477 | Glen Snyder | Military Health Care Provider | 3488 Garden Ave Anderson Hall, Fort Sam Houston, San Antonio, TX 78234 | 2018-09-19 |
| 1265919336 | Ashley Elizabeth Malawey | Military Health Care Provider | 3222 Cpl Johnson Road, San Antonio, TX 78234 | 2018-07-23 |
| 1053805515 | Rene Espinosa | Social Worker | San Antonio Medical Center, 3551 Roger Brooke Dr, Jbsa, TX 78234 | 2018-06-19 |
| 1235622333 | Melanie Edith Rivera | Military Health Care Provider | 3600 Roger Brooke Drive, San Antonio, TX 78234 | 2018-06-13 |
| 1063909158 | Benjamin Walker Appelo | General Practice | San Antonio Mil Med Center 3551 Roger Brooke Dr, Mche-zdm-m, San Antonio, TX 78234 | 2018-04-16 |
| Find all providers in zip 78234 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205363074 | Alex Leor Shapiro | Emergency Medicine | 3551 Roger Brooke Drive, Mche/me, Jbsa Fort Sam Houston, TX 78234 | 2017-05-11 |
| 1174059323 | Shannon Nicole Thompson | Emergency Medicine | 3551 Roger Brooke Drive, Mche-zqq (credentials), Jbsa Fort Sam Houston, TX 78234-4504 | 2017-05-10 |
| 1629400486 | Josh Henryk Bukowski | Emergency Medicine | 3551 Roger Brooke Dr, Jbsa Fort Sam Houston, TX 78209 | 2013-08-04 |
| 1740419191 | Andrew James Kuschnerait | Emergency Medicine | 3551 Roger Brooke Dr, Brook Army Medical Center, Jbsa Fort Sam Houston, TX 78234-4504 | 2009-07-07 |
| 1760548754 | Jason D Bothwell | Emergency Medicine | Brooke Army Medical Center, 3551 Roger Brooke Dr, Jbsa Fort Sam Houston, TX 78234-7820 | 2006-12-28 |
| 1831157569 | Vance Michael Rothmeyer | Emergency Medicine | Brooke Army Medical Center, 3551 Roger Brooke Dr, Jbsa Fort Sam Houston, TX 78234-4504 | 2006-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568062297 | Davies Recovery,llc | Emergency Medicine | 9503 Middlex Dr, San Antonio, TX 78217-5915 | 2020-10-30 |
| 1841807526 | Talo Medical Management, LLC | Emergency Medicine | 4190 Fm 2933, Mckinney, TX 75071-0352 | 2020-09-28 |
| 1770199101 | Mavon Oversight Pllc | Emergency Medicine | 340 Van Bibber, Salado, TX 76571 | 2020-09-21 |
| 1568077675 | Eir Pllc | Emergency Medicine | 5150 Lemmon Ave Ste 108, Dallas, TX 75209-6428 | 2020-09-15 |
| 1942819479 | Atascocita Emergency Center, LLC | Emergency Medicine | 5324 Atascocita Rd Ste T, Humble, TX 77346-2971 | 2020-07-30 |
| 1467070698 | Emer Rowlett Physicians, Pllc | Emergency Medicine | 3301 Lakeview Pkwy, Rowlett, TX 75088-3321 | 2020-07-14 |
| 1225656176 | Summit Emergency Medicine Pllc | Emergency Medicine | 2501 W 7th St Ste 101, Fort Worth, TX 76107-8014 | 2020-07-08 |
| 1720604937 | Summit Emergency Medicine Pllc | Emergency Medicine | 606 Grapevine Hwy Ste Abc, Hurst, TX 76054-2758 | 2020-06-23 |
| 1669097382 | Star Ed Pllc | Emergency Medicine | 4617 Saint Clair Ct, Flower Mound, TX 75022-1041 | 2020-06-09 |
| 1992326078 | Sarah N Ibanez Shaw | Emergency Medicine | Ut Austin Dell Medical School Em Residency Program, 1400 N. I-35, Suite 2.230, Austin, TX 78701 | 2020-04-30 |
| Find all providers with the same taxonomy | ||||
| City | JBSA FORT SAM HOUSTON |
| Zip Code | 78234 |
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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.