GORDON LELDON GIBSON (NPI# 1407813942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407813942 |
| Entity Type | Individual |
| Full Name | GORDON LELDON GIBSON |
| Credential | M. D. |
| Practice Address |
106 Ridgeway Suites A & B Hot Springs AR 71901-7157 |
| Mailing Address |
Po Box 1190 Conway AR 72033-1190 |
| Practice Telephone | 5013210547 |
| Practice Fax Number | 5013210386 |
| Mailing Telephone | 5012277499 |
| Mailing Fax Number | 5015042404 |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2013-12-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
C4484 | AR | Allopathic & Osteopathic Physicians |
| N | 2084S0012X |
Psychiatry & Neurology Specialization: Sleep Medicine |
C4484 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RAILROAD MEDICARE | 130021443 | 01 | |
| WORKERS COMP | 710834149 | 01 | |
| AR | QUALCHOICE | 710834149 | 01 |
| AETNA | 4542234 | 01 | |
| PALMETTO GBA/RR MEDICARE | 130021443 | 01 | |
| PRUDENTIAL HMO | 710834149 | 01 | |
| DEPT OF LABOR | 172899400 | 01 | |
| BEECH STREET CORPORATION | 2122175566 | 01 | |
| FIRST HEALTH | 2162460 | 01 | |
| CHAMPUS | 710834149 | 01 | |
| AR | 104488001 | 05 | |
| AR | BLUE CROSS BLUE SHIELD | 51877 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831431758 | Gordon R Gibson Jr. | Dentist | 10260 Westheimer Rd, Suite 540, Houston, TX 77042-3110 | 2013-03-18 |
| Street Address |
106 RIDGEWAY SUITES A & B |
| City | HOT SPRINGS, |
| State | AR |
| Zip Code | 71901-7157 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639467442 | Gordon L. Gibson, M. D., P. A. | Psychiatry & Neurology | 106 Ridgeway, Suites A & B, Hot Springs, AR 71901-7157 | 2011-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346878303 | Hot Springs Ambulatory Surgery Center, LLC | Clinic/Center | 148 Sawtooth Oak St, Hot Springs, AR 71901 | 2020-03-27 |
| 1114558285 | Patrick Michael Westerman | Physical Therapist | 2122 Malvern Ave, Suite 5, Hot Springs, AR 71901 | 2020-01-28 |
| 1013416601 | Cheryl Kuhn | Counselor | 1820 Central Ave. Ste. B, Hot Springs, AR 71901 | 2018-02-08 |
| 1841711744 | Bonnie Lee | Case Manager/Care Coordinator | 240 Matthews Dr Apt A2, Hot Springs, AR 71901 | 2017-06-29 |
| 1699221457 | Belvedere Nursing and Rehabilitation Center, LLC | Skilled Nursing Facility | 2600 Park Avenue, Hot Springs, AR 71901 | 2016-08-31 |
| 1639558398 | Jamie L. Summers Stacks, Pa | Counselor | 100 Ridgeway Ave, Suite 1, Hot Springs, AR 71901 | 2015-05-27 |
| 1831435452 | Wpm Community Pharmacies, LLC | Pharmacist | 105 Sawtooth Oak Street, Hot Springs, AR 71901 | 2012-12-31 |
| 1467759159 | Karissia Dawson | Counselor | 100 Ridgeway St Ste 5, Hot Springs, AR 71901 | 2011-02-16 |
| 1407172331 | Summit Dental, Inc | Dentist | 1421 Central Avenue, Hot Springs, AR 71901 | 2010-04-16 |
| 1609190826 | Mindy Gallegos | Nurse Practitioner | 102 Chippewa Ct, Hot Springs, AR 71901 | 2010-03-17 |
| Find all providers in zip 71901 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639467442 | Gordon L. Gibson, M. D., P. A. | Psychiatry & Neurology | 106 Ridgeway, Suites A & B, Hot Springs, AR 71901-7157 | 2011-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073092821 | Baptist Health Services | Psychiatry & Neurology | 3808 Gary St Ste B, Fort Smith, AR 72903 | 2018-08-13 |
| 1588143259 | Baptist Health Services | Psychiatry & Neurology | 1500 Dodson Ave Ste 290, Fort Smith, AR 72901 | 2018-08-13 |
| 1346769767 | Arkansas Health Group | Psychiatry & Neurology | 625 United Dr Ste 370b, Conway, AR 72032-7826 | 2017-09-18 |
| 1588016471 | William Denson | Psychiatry & Neurology | 8 Rebanar Ln, Hot Springs Village, AR 71909-3700 | 2016-07-05 |
| 1982082970 | Ernest Escarza Serrano | Psychiatry & Neurology | 3405 Ramsgate Way, Fort Smith, AR 72908-9359 | 2015-05-11 |
| 1942602156 | Baxter County Regional Hospital, Inc | Psychiatry & Neurology | 624 Hospital Dr Ste 2b, Mountain Home, AR 72653-2955 | 2014-09-18 |
| 1588079560 | Pradeep Reddy Kumbham | Psychiatry & Neurology | 2900 Medical Center Pkwy Ste 310, Bentonville, AR 72712-3214 | 2014-06-27 |
| 1104260819 | Rebecca Lee Jones | Psychiatry & Neurology | 8201 Cantrell Rd Ste 265, Little Rock, AR 72227-2347 | 2013-04-24 |
| 1811242639 | Mhd Ezzat Zaghlouleh | Psychiatry & Neurology | 501 Jack Stephens Dr Fl 8, Little Rock, AR 72205 | 2012-07-18 |
| 1033476726 | Jay P Hinkle | Psychiatry & Neurology | 3336 N. Futrall, Fayetteville, AR 72703 | 2012-04-18 |
| Find all providers with the same taxonomy | ||||
| City | HOT SPRINGS, |
| Zip Code | 71901 |
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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.