MICHAEL DAVID GIBBONEY (NPI# 1437577913) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437577913 |
| Entity Type | Individual |
| Full Name | MICHAEL DAVID GIBBONEY |
| Credential | DPM |
| Practice Address |
Naval Medical Center Camp Lejeune 100 Brewster Blvd. Camp Lejeune NC 28547 |
| Mailing Address |
Geisinger Medical Center 100 North Academy Ave Danville PA 17822-0001 |
| Practice Telephone | 9104492608 |
| Mailing Telephone | 5702716211 |
| Enumeration Date | 2014-04-02 |
| Last Update Date | 2018-09-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
SC006592 | PA | Podiatric Medicine & Surgery Service Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| Geisinger Medical Center 100 North Academy Ave, Danville, PA 178220001 | 5702716211 |
| Street Address |
NAVAL MEDICAL CENTER CAMP LEJEUNE 100 BREWSTER BLVD. |
| City | CAMP LEJEUNE |
| State | NC |
| Zip Code | 28547 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477709145 | Allison Beth Weisbrod | Surgery | Naval Medical Center Camp Lejeune, 100 Brewster Blvd, Camp Lejeune, NC 28547-2538 | 2008-08-13 |
| 1588284145 | Brett Michael Frazier | Military Health Care Provider | Naval Medical Center Camp Lejeune, 100 Brewster Boulevard, Camp Lejeune, NC 28547 | 2020-04-23 |
| 1356684898 | Aimee Katherine Grande | Physician Assistant | Naval Medical Center Camp Lejeune, 100 Brewster Blvd, Camp Lejeune, NC 28547-2575 | 2013-04-03 |
| 1497006084 | Eric Aul | Military Health Care Provider | Naval Medical Center Camp Lejeune, 100 Brewster Blvd, Camp Lejeune, NC 28547 | 2012-09-24 |
| 1275852584 | Michael James Ellett Monson | Internal Medicine | Naval Medical Center Camp Lejeune, 100 Brewster Blvd., Camp Lejeune, NC 28547 | 2010-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558906032 | Abigail Deemer | Physician Assistant | L Street, Bldg Hp-416, Camp Lejeune, NC 28547 | 2019-11-08 |
| 1407406267 | Michelle Ferricher | Nurse Practitioner | Naval Medical Center Pediatric Clinic, Nh-200 Recovery Way, Camp Lejeune, NC 28547 | 2019-09-13 |
| 1215595566 | Kayla L Torrez Chang | General Practice | Mcmh Fc 308, Hm Smith Boulevard, Camp Lejeune, NC 28547 | 2019-06-02 |
| 1699338442 | Amanda Leigh Jepsen | Military Health Care Provider | Naval Medical Center; 100 Brewster Blvd, Camp Lejeune, NC 28547 | 2019-04-17 |
| 1306336995 | Erik Reid King | Physician Assistant | F Street Bldg. Hp206, Camp Lejeune, NC 28547 | 2018-05-18 |
| 1114434032 | David John Mcdermott | Specialist/Technologist | Bldg. H1 Julian C Smith Rd., Camp Lejuene, NC 28547 | 2017-12-30 |
| 1235678434 | Nicolle Elizabeth Johnson | Occupational Therapist | 180 Hospital Corps Blvd., Camp Lejeune, NC 28547 | 2017-02-21 |
| 1427435585 | Naval Medical Center Camp Lejeune | Military/U.S. Coast Guard Pharmacy | Stone St. Extention, Bldg Nh200, Camp Lejeune, NC 28547 | 2015-04-28 |
| 1043634173 | Garrett Michael Wren | Obstetrics & Gynecology | Naval Medical Center, 100 Brewster Blvd, Camp Lejeune, NC 28547 | 2014-02-10 |
| 1245662436 | Samuel Maluil | Internal Medicine | Bldg 124 Wallace Creek, Camp Lejeunce, NC 28547 | 2013-07-30 |
| Find all providers in zip 28547 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427410679 | Colin Matthew Mizuo | Podiatrist | 100 Brewster Blvd, Camp Lejeune, NC 28547-2575 | 2016-03-27 |
| 1942568951 | Kevin Daniel Hunt | Podiatrist | 100 Brewster Blvd, Camp Lejeune, NC 28547-2538 | 2012-04-26 |
| 1568626497 | Joseph James Mayr | Podiatrist | 100 Brewster Blvd, Naval Hospital, Camp Lejeune, NC 28547-2538 | 2008-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720696834 | Instride Foot & Ankle Specialists, Pllc | Podiatrist | 6341 Cook Ave Ste A, Clemmons, NC 27012-9380 | 2020-07-15 |
| 1497376370 | Carolina Foot & Ankle of Huntersville, PC | Podiatrist | 10310 Couloak Dr Ste 200, Charlotte, NC 28216-7673 | 2020-05-01 |
| 1346861614 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 1506 E Franklin St Ste 104, Chapel Hill, NC 27514-2825 | 2020-04-28 |
| 1316576283 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 3800 Highway 49 South, Harrisburg, NC 28075 | 2020-04-03 |
| 1346878410 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 16419 Northcross Dr Ste A, Huntersville, NC 28078-5009 | 2020-04-01 |
| 1386289841 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 700 Tilghman Dr Ste 722, Dunn, NC 28334-5519 | 2019-11-08 |
| 1881244168 | Unc Physicians Network Group Practices, LLC | Podiatrist | 1505 Sw Cary Pkwy Ste 200, Cary, NC 27511-6219 | 2019-09-18 |
| 1669022950 | Unc Physicians Network Group Practices, LLC | Podiatrist | 501 Health Park Dr Ste 180, Garner, NC 27529-7051 | 2019-09-18 |
| 1861042152 | Unc Physicians Network Group Practices, LLC | Podiatrist | 6602 Knightdale Blvd Ste 203, Knightdale, NC 27545-6567 | 2019-09-18 |
| 1326518630 | Instride Foot and Ankle Specialists, Pllc | Podiatrist | 114 N Northwood St, Wallace, NC 28466 | 2018-11-29 |
| Find all providers with the same taxonomy | ||||
| City | CAMP LEJEUNE |
| Zip Code | 28547 |
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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.