MICHAEL J GIBSON (NPI# 1487681201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487681201 |
| Entity Type | Individual |
| Full Name | MICHAEL J GIBSON |
| Credential | P.A.-C. |
| Practice Address |
100 Mcdougal Dr Holdenville OK 74848-2822 |
| Practice Telephone | 4053794202 |
| Practice Fax Number | 4053794340 |
| Mailing Telephone | 4053794202 |
| Mailing Fax Number | 4053794340 |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2011-10-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
199 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DMERC REGION C | 0784740001 | 01 | |
| PALMETTO GBA RAILROAD MC | P00266954 | 01 | |
| OK | 100848080A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225667868 | Michael Gibson | Pharmacist | 5674 Highway 11 E, Piney Flats, TN 37686-4461 | 2020-04-06 |
| 1952697781 | Michael Ryan Gibson | Physical Therapy Assistant | 122 Sandstone Dr Apt 12, Beckley, WV 25801-2843 | 2011-06-20 |
| 1881863355 | Michael Scott Gibson | Driver | 194 Jones Rd, Sneedville, TN 37869-3639 | 2008-02-28 |
| 1043496797 | Michael Bennie Gibson | Registered Nurse | 1142 Robin Hood Ln, Norman, OK 73072-7502 | 2008-01-11 |
| 1609071984 | Michael Jeremiah Gibson | Preventive Medicine | 401 Thompson Blvd, Union, SC 29379-1553 | 2007-06-18 |
| 1114090131 | Michael Gibson | Dentist | 424 E Center Avenue, Dorchester, WI 54425-0236 | 2006-11-16 |
| 1447246640 | Michael Spencer Gibson | Radiology | Nnmc, Radiology, 8901 Wisconsin Ave, Bethesda, MD 20889-0001 | 2005-09-22 |
| 1346249034 | Michael L Gibson | Anesthesiology | 505 S John Redditt Dr, Lufkin, TX 75904-3120 | 2005-07-15 |
| 1366907172 | Michael Gibson | Counselor | 1203 American Greeting Card Rd, Corbin, KY 40701-4811 | 2019-02-06 |
| 1285199364 | Michael S Gibson | Counselor | 850 Swing Ln Unit 1, Medford, OR 97501-1790 | 2019-02-04 |
| Street Address |
100 MCDOUGAL DR |
| City | HOLDENVILLE |
| State | OK |
| Zip Code | 74848-2822 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669461372 | John M Swirczek | Anesthesiology | 100 Mcdougal Dr, Holdenville, OK 74848-2822 | 2005-10-14 |
| 1184073991 | Saba Suhail | Family Medicine | 100 Mcdougal Dr, Holdenville, OK 74848-2822 | 2016-06-13 |
| 1356704928 | Karis Ashley Rodriguez | Nurse Practitioner | 100 Mcdougal Dr, Holdenville, OK 74848-2899 | 2016-03-31 |
| 1104287044 | Julia Amilee Dority | Nurse Practitioner | 100 Mcdougal Dr, Holdenville, OK 74848-2822 | 2016-03-18 |
| 1902265309 | Holdenville Hospital Authority | Clinic/Center | 100 Mcdougal Dr, Holdenville, OK 74848-2822 | 2016-02-15 |
| 1073998415 | Southwest Orthopaedic Specialists, Pllc | Orthopaedic Surgery | 100 Mcdougal Dr, Holdenville, OK 74848-2822 | 2015-07-28 |
| 1558740639 | Antoine Michael Khalaf Jr. | Family Medicine | 100 Mcdougal Dr, Holdenville, OK 74848-2822 | 2015-05-22 |
| 1144625732 | Aeric Wynn Creekmore II | Nurse Practitioner | 100 Mcdougal Dr, Holdenville, OK 74848-2822 | 2014-10-26 |
| 1821417015 | Holdenville Hospital Authority | Medicare Defined Swing Bed Unit | 100 Mcdougal Dr, Holdenville, OK 74848-2822 | 2014-04-15 |
| 1780003970 | Holdenville Hospital Authority | Clinic/Center | 100 Mcdougal Dr, Holdenville, OK 74848-2822 | 2014-04-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790276160 | Corner Clinic Aprn-cnp Pllc | Clinic/Center | 201 N Hinkley, Holdenville, OH 74848 | 2018-05-22 |
| 1063948230 | Savannah Ione Hartwick | Personal Emergency Response Attendant | 400 Crestview Dr., Holdenville, OK 74848 | 2017-05-10 |
| 1568910297 | Alicia Rose Gosey | Nurse Practitioner | 1011 N Hinkley St, Holdenville, OK 74848 | 2016-09-11 |
| 1649611278 | Sooner Health Services IIi, Inc. | Home Health | 106 N Broadway, Holdenville, OK 74848 | 2013-07-11 |
| 1275852089 | Jennifer Michele Gaines | Counselor | 117 Rogers Drive, Holdenville, OK 74848 | 2010-05-19 |
| 1497975528 | Gloria Buenrostro Turner | Physical Therapist | Therapy Care Outpatient PC, 317 E 8th St, Holdenville, OK 74848 | 2007-04-30 |
| 1215075528 | Therapy Care Outpatient PC | Physical Therapist | 317 E 8th Street, Holdenville, OK 74848 | 2007-02-01 |
| 1285724732 | Heritage Village Nursing Center, LLC | Skilled Nursing Facility | 801 Highway #48, Holdenville, OK 74848 | 2006-10-13 |
| 1861484776 | Joseph Omer Lavalley | Dentist | 300 E Hwy, Holdenville, OK 74848 | 2005-08-17 |
| 1699150052 | Stephanie Keesee | Nurse Practitioner | 201 N Hinckley St, Holdenville, OK 74848 | 2015-07-28 |
| Find all providers in zip 74848 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366577843 | Earl Edgar Dunkleberger | Physician Assistant | 100 Mcdougal Dr, Holdenville, OK 74848-2822 | 2007-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790392868 | James Scott Turner | Physician Assistant | 924 Nw 14th St, Moore, OK 73160-1610 | 2020-09-23 |
| 1386283679 | Cody Rice Chambers | Physician Assistant | 2002 12th Ave Nw Ste B, Ardmore, OK 73401-1206 | 2020-01-03 |
| 1073154647 | Haley Nicole Beaird | Physician Assistant | 8907 E 93rd St, Tulsa, OK 74133-5634 | 2019-10-03 |
| 1568920924 | Direct2u Urgent Care Pllc | Physician Assistant | 2417 County Road 1263, Blanchard, OK 73010-3123 | 2019-03-05 |
| 1538625660 | Symachia LLC | Physician Assistant | 115 N. Main St., Cashion, OK 73106 | 2019-02-13 |
| 1982172029 | William Landon Ross | Physician Assistant | 3705 W Memorial Rd Ste 101, Oklahoma City, OK 73134-1508 | 2018-11-07 |
| 1639646656 | Jacob Allbritton | Physician Assistant | 10824 Admiral Dr, Oklahoma City, OK 73162-6843 | 2018-10-29 |
| 1316420086 | Lauren Anto | Physician Assistant | 2824 Classen Blvd Ste 100, Norman, OK 73071-4059 | 2018-09-10 |
| 1073004768 | Shelby Teel | Physician Assistant | 1200 Everett Dr # 8305, Oklahoma City, OK 73104-5047 | 2018-05-29 |
| 1093240749 | Green's Country Clinic, LLC | Physician Assistant | 223 E Blackwell Ave, Blackwell, OK 74631-2909 | 2017-05-01 |
| Find all providers with the same taxonomy | ||||
| City | HOLDENVILLE |
| Zip Code | 74848 |
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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.