MATTHEW EUGENE GIBSON (NPI# 1366881187) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366881187 |
| Entity Type | Individual |
| Full Name | MATTHEW EUGENE GIBSON |
| Credential | MD |
| Practice Address |
10060 Regency Cir Omaha NE 68114-3732 |
| Mailing Address |
Po Box 3755 Omaha NE 68103-0755 |
| Practice Telephone | 4023541325 |
| Practice Fax Number | 4023541301 |
| Mailing Telephone | 4023542100 |
| Mailing Fax Number | 4023542155 |
| Enumeration Date | 2013-06-14 |
| Last Update Date | 2016-07-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 29196 | NE | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 6987 | NE | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 10225837400 | 05 | |
| IA | 1366881187 | 05 | |
| NE | 47068731742 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669913737 | Matthew Jerrid Gibson | Physical Therapy Assistant | 190 Cane Hedge Rd, Irondale, AL 35210-3524 | 2017-03-09 |
| 1508271495 | Matthew Gibson | Dentist | 10871 County Line Rd Ste A, Madison, AL 35758 | 2014-06-30 |
| 1104441369 | Matthew James Gibson | Pharmacist | 3822 Paxton Ave, Cincinnati, OH 45209-2399 | 2020-06-13 |
| 1932692829 | Matthew A Gibson | Registered Nurse | 15060 S 39th St, Phoenix, AZ 85044-6612 | 2018-06-14 |
| 1336500115 | Matthew Gibson | Counselor | 11 Robinson St, Pottstown, PA 19464-6421 | 2016-03-08 |
| 1386055408 | Matthew Gibson | Behavioral Analyst | 120 W Eastman St, Suite 102, Arlington Heights, IL 60004-5937 | 2014-05-12 |
| 1053745448 | Matthew A Gibson | Student in an Organized Health Care Education/Training Program | Johns Hopkins Hospital, 1800 Orleans Street, Baltimore, MD 21287-0001 | 2013-08-21 |
| 1316386303 | Matthew Edward Gibson | Surgery | 4414 Lake Boone Trl Ste 108, Raleigh, NC 27607 | 2013-06-23 |
| 1487910238 | Matthew Gibson | Family Medicine | 7601 Hospital Dr, Ste 103, Sacramento, CA 95823-5408 | 2012-04-05 |
| 1174843205 | Matthew Spencer Gibson | Internal Medicine | 1155 Mill St, Reno, NV 89502-1576 | 2010-06-11 |
| Street Address |
10060 REGENCY CIR |
| City | OMAHA |
| State | NE |
| Zip Code | 68114-3732 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639172729 | Christine Kissinger | Physical Therapist | 10060 Regency Cir, Omaha, NE 68114-3732 | 2005-05-23 |
| 1639616550 | Emily Ann Struebing | Physician Assistant | 10060 Regency Cir, Omaha, NE 68114-3732 | 2017-01-30 |
| 1497106165 | Natalie Anne Fleming | Pediatrics | 10060 Regency Cir, Omaha, NE 68114-3732 | 2016-06-23 |
| 1528420932 | Maria Rose Vacha | Family Medicine | 10060 Regency Cir, Omaha, NE 68114-3732 | 2016-03-24 |
| 1043604614 | Justin Morar | Family Medicine | 10060 Regency Cir, Omaha, NE 68114 | 2015-03-23 |
| 1780095430 | Rini Ashok Desai | Physical Medicine & Rehabilitation | 10060 Regency Cir, Omaha, NE 68114-3732 | 2014-05-15 |
| 1407285851 | Karen S. Betjacob | Registered Nurse | 10060 Regency Cir, Omaha, NE 68114-3732 | 2013-11-06 |
| 1740614494 | Anne C Johnson | Nurse Practitioner | 10060 Regency Cir, Omaha, NE 68114-3732 | 2013-08-29 |
| 1407293483 | Melissa Sue Hernandez | Internal Medicine | 10060 Regency Cir, Omaha, NE 68114-3732 | 2013-05-30 |
| 1508126756 | Andy Robert Welstead | Internal Medicine | 10060 Regency Cir, Omaha, NE 68114-3732 | 2012-05-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689237356 | Jared Nathan Holthaus | Optometrist | 625 N. 98th St, Omaha, NE 68114 | 2019-04-18 |
| 1346701869 | On Site Health and Wellness, LLC | Dietitian, Registered | 7905 Pacific Street, Omaha, NE 68114 | 2019-03-27 |
| 1801301205 | Logan Johnson | Specialist/Technologist | 8803 Webster Plz, Omaha, NE 68114 | 2017-12-06 |
| 1992224687 | Douglas Medical Supplies | Durable Medical Equipment & Medical Supplies | 7914 W Dodge Rd Ste 916, Omaha, NE 68114 | 2017-09-13 |
| 1023568540 | Active Spine Physical Therapy, LLC | Clinic/Center | 10110 Nicholas St Ste 100, Omaha, NE 68114 | 2016-10-07 |
| 1417400706 | Kayla Ann Leddy | Counselor | 7701 Pacific St Ste 100a, Omaha, NE 68114 | 2016-08-03 |
| 1134561103 | Julio Cesar Deleon Iv | Counselor | 9212 California Plaza #308, Omaha, NE 68114 | 2013-07-19 |
| 1477992261 | Nicole Janine Lecci | Dentist | 8910 Indian Hills Drive, Suite 200, Omaha, NE 68114 | 2013-06-14 |
| 1538504436 | Christian Louis Barney | Radiology | 8303 Dodge St Ste Ll6, Omaha, NE 68114 | 2013-05-06 |
| 1558606665 | Nbd Solutions | Durable Medical Equipment & Medical Supplies | 327 N 78 Street, Omaha, NE 68114 | 2012-11-29 |
| Find all providers in zip 68114 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508467580 | Stephen Lazoritz | Pediatrics | 4245 S 121st Plz, Omaha, NE 68137-2132 | 2020-11-05 |
| 1760976385 | Eric Spencer West | Pediatrics | 982185 Nebraska Medical Center Omaha, Omaha, NE 68198-2185 | 2018-06-18 |
| 1669962130 | Rachel Kathryn Schlueter | Pediatrics | 982185 Nebraska Medical Cente, Omaha, NE 68198-2185 | 2018-05-10 |
| 1063862779 | Evin Lackore | Pediatrics | Unmc Pediatrics Residency Program, 982185 Nebraska Medical Center, Omaha, NE 68198 | 2016-06-14 |
| 1881049708 | Dundee Pediatrics, LLC | Pediatrics | 5018 Underwood Ave, Suite 200, Omaha, NE 68132-2236 | 2016-04-28 |
| 1962866418 | Children's Hospital & Medical Center | Pediatrics | 110 N 175th St Ste 1600, Children's Outpatient Surgery Center, Omaha, NE 68118-3581 | 2016-04-11 |
| 1437513264 | Beyond Care Pediatrics LLC | Pediatrics | 16945 Frances St Ste 200b, Omaha, NE 68130-2312 | 2016-04-07 |
| 1891155313 | Children's Hospital & Medical Center | Pediatrics | 4825 Dodge St, Children's Hospital & Medical Center Urgent Care Dundee, Omaha, NE 68132-3110 | 2016-02-25 |
| 1558735795 | Cynthia Wengel | Pediatrics | 16324 Hamilton Cir, Omaha, NE 68118-2463 | 2015-11-27 |
| 1053793836 | Austin Maurice Vandeberg | Pediatrics | 1224 S 52nd St, Omaha, NE 68106-1728 | 2015-06-29 |
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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.