DR. GERALD E GIBBS (NPI# 1386710903) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386710903 |
| Entity Type | Individual |
| Full Name | DR. GERALD E GIBBS |
| Credential | M.D. |
| Practice Address |
364 Se 8th Ave Suite 108-a Hillsboro OR 97123-4253 |
| Practice Telephone | 5036403687 |
| Practice Fax Number | 5036403688 |
| Mailing Telephone | 5036403687 |
| Mailing Fax Number | 5036403688 |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2016-04-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
MD11852 | OR | Allopathic & Osteopathic Physicians |
| N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
11852 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RAILROAD MEDICARE | P00086741 | 01 | |
| OR | 217646 | 05 | |
| OR | BCBS | 83844001 | 01 |
| MEDICARE # | R118175 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700441094 | Gerald Lynn Gibbs | Nurse Practitioner | 1418 Silent Sunset Ave, North Las Vegas, NV 89084-2012 | 2019-05-02 |
| Street Address |
364 SE 8TH AVE SUITE 108-A |
| City | HILLSBORO |
| State | OR |
| Zip Code | 97123-4253 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174505044 | Mohammed A Taher | Internal Medicine | 364 Se 8th Ave, Suite 301, Hillsboro, OR 97123-4253 | 2005-11-16 |
| 1962959171 | Tommy Gialun Wong | Pharmacist | 364 Se 8th Ave, Suite 107, Hillsboro, OR 97123-4253 | 2016-09-06 |
| 1346536992 | Julia Elizabeth Shannon | Nurse Practitioner | 364 Se 8th Ave, Suite 205, Hillsboro, OR 97123-4253 | 2011-06-22 |
| 1952607970 | Tuality Healthcare | Clinic/Center | 364 Se 8th Ave, Ste 301-a, Hillsboro, OR 97123-4253 | 2011-02-09 |
| 1902102379 | Tuality Healthcare | Clinic/Center | 364 Se 8th Ave, Suite 108-a, Hillsboro, OR 97123-4253 | 2011-02-02 |
| 1366748733 | Tuality Healthcare | Clinic/Center | 364 Se 8th Ave, Suite 105, Hillsboro, OR 97123-4253 | 2011-02-02 |
| 1881990257 | Tuality Healthcare | Clinic/Center | 364 Se 8th Ave, Suite 201, Hillsboro, OR 97123-4253 | 2011-02-02 |
| 1154649382 | Brandice T Durkan | Surgery | 364 Se 8th Ave, Suite 301a, Hillsboro, OR 97123-4253 | 2010-05-12 |
| 1609021849 | Eliana L Kozin | Internal Medicine | 364 Se 8th Ave, Suite 108a, Hillsboro, OR 97123-4253 | 2008-12-01 |
| 1336399682 | Michael Gregory Doorly | Colon & Rectal Surgery | 364 Se 8th Ave, Suite 301a, Hillsboro, OR 97123-4253 | 2008-09-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851916241 | Gabriel Lawrence | Physical Therapist | 2973 Se 79th Ave., Hillsboro, OR 97123 | 2020-06-11 |
| 1487278453 | Jordan Gregory Evans | Student in an Organized Health Care Education/Training Program | Creighton Hall 222 Se 8th Ave, Hillsboro, OR 97123 | 2020-06-04 |
| 1124641006 | Jessica Anne Bramlett | Student in an Organized Health Care Education/Training Program | 228 Southeast 8th Avenue, Suite 536, Hillsboro, OR 97123 | 2020-05-26 |
| 1003448168 | Madelyn Vogt | Community Health Worker | 862 Se Oak Street, Suite 2a, Hillsboro, OR 97123 | 2020-02-06 |
| 1215435789 | Renise Harrel | Massage Therapist | 4855 Se Tv Hwy, Suite B, Hillsboro, OR 97123 | 2018-01-30 |
| 1497260269 | Amy Hodges | Counselor | 222 Se 8th Ave # 212, Hillsboro, OR 97123 | 2017-12-02 |
| 1033623723 | Tamira L Heyob | Doula | 25600 Sw Bald Peak Rd., Hillsboro, OR 97123 | 2017-11-17 |
| 1134644024 | Tara Kyoko Taylor | Massage Therapist | 5289 Ne Elam Young Pkwy #130, Hillsboro, OR 97123 | 2017-08-11 |
| 1023543055 | Austin Simpson | Counselor | 222 Se 8th, Suite 222, Hillsboro, OR 97123 | 2017-04-27 |
| 1124569769 | Emergency Tooth Doctor Hillsboro, Prof. Corp. | Dentist | 752 Se Oak St, Hillsboro, OR 97123 | 2017-03-15 |
| Find all providers in zip 97123 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306901574 | Hillsboro Hematology and Oncology PC | Internal Medicine | 405 Se 8th Ave, Hillsboro, OR 97123-4211 | 2006-12-27 |
| 1457564833 | Aleksandra A Mcleod | Internal Medicine | 364 Se 8th Ave, Suite 108-a, Hillsboro, OR 97123-4253 | 2007-05-08 |
| 1619031838 | Mark R Stone | Internal Medicine | 364 Se 8th Ave, Suite 108-a, Hillsboro, OR 97123-4253 | 2006-12-21 |
| 1275608077 | Regina L Melink | Internal Medicine | 1275 N High St, Hillsboro, OH 45133-8273 | 2006-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386022358 | Joseph Sedillo | Internal Medicine | 1879 Williams Hwy, Grants Pass, OR 97527-5864 | 2015-05-11 |
| 1013326362 | Steelhead Specialty Group, PC | Internal Medicine | 2880 Nw Stewart Pkwy Ste 300, Roseburg, OR 97471-1205 | 2014-08-11 |
| 1366860553 | Daniel Guy | Internal Medicine | 4805 Ne Glisan St Ste 11n-1, Portland, OR 97213-2933 | 2014-04-03 |
| 1730422015 | Annie Kwok Hung | Internal Medicine | 24988 Se Stark St Ste 140, Gresham, OR 97030-8326 | 2013-04-04 |
| 1033464318 | William Galen | Internal Medicine | 1221 Sw 10th Ave, 1804, Portland, OR 97205-2426 | 2012-07-23 |
| 1164711305 | Robert Francis Granatir | Internal Medicine | 3863 Saint Andrews Loop S, Salem, OR 97302-9498 | 2011-03-28 |
| 1730348632 | Sasha Elizabeth Stanton | Internal Medicine | 4805 Ne Glisan St # 2n103, Portland, OR 97213-2933 | 2008-06-05 |
| 1952578742 | Yale Sacks | Internal Medicine | 2200 Old Military Rd, Central Point, OR 97502-1022 | 2008-05-12 |
| 1114123601 | Joshua Michael Weese | Internal Medicine | 2880 Nw Stewart Parkway, Suite 300, Roseburg, OR 97471 | 2007-06-22 |
| 1437370947 | Stephen A Williams | Internal Medicine | 2880 Nw Stewart Parkway, Suite 300, Roseburg, OR 97471-1201 | 2007-05-01 |
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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.