GREGORY ALAN GIBSON (NPI# 1548270630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548270630 |
| Entity Type | Individual |
| Full Name | GREGORY ALAN GIBSON |
| Credential | MD |
| Practice Address |
300 Health Park Blvd Suite 5008 Saint Augustine FL 32086-3707 |
| Mailing Address |
Po Box 3123 Saint Augustine FL 32085-3123 |
| Practice Telephone | 9048243777 |
| Practice Fax Number | 9048246050 |
| Mailing Telephone | 9048243777 |
| Mailing Fax Number | 9048246050 |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2015-03-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
ME0060293 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BLUE CROSS BLUE SHIELD | 12553 | 01 |
| FL | RAILROAD MEDICARE | P01087699 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467489120 | Gregory Gibson | Internal Medicine | 6555 Professional Pl, Suite C, Riverdale, GA 30274-2519 | 2006-06-27 |
| 1457827891 | Gregory James Gibson | Registered Nurse | 830 5th Ave Ste 201, Chambersburg, PA 17201-4224 | 2018-10-23 |
| 1831536747 | Gregory Thomas Gibson | Internal Medicine | 3401 N Broad St, Philadelphia, PA 19140-5103 | 2013-05-31 |
| 1740534650 | Gregory W Gibson | Marriage & Family Therapist | 1151 W Robinhood Dr, Suite A8, Stockton, CA 95207-5625 | 2012-10-30 |
| 1891015574 | Gregory Lee Gibson | Internal Medicine | 1901 Melba Dr, Dothan, AL 36301-3017 | 2010-06-04 |
| 1386863330 | Gregory David Gibson | Counselor | 29520 Canvasback Dr, Easton, MD 21601-7124 | 2007-04-25 |
| 1013940642 | Gregory Scott Gibson | Counselor | 2204 Brothers Rd, Suite B, Santa Fe, NM 87505-6975 | 2006-07-08 |
| 1184695918 | Gregory L Gibson | Family Medicine | 3941 Highway 9, Boiling Springs, SC 29316-8578 | 2006-01-30 |
| Street Address |
300 HEALTH PARK BLVD SUITE 5008 |
| City | SAINT AUGUSTINE |
| State | FL |
| Zip Code | 32086-3707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336536697 | Brandon Braddock | Physician Assistant | 300 Health Park Blvd, Suite 4000, Saint Augustine, FL 32086-3707 | 2015-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225670037 | Ramonica Flagler | Nurse Practitioner | 3574 Us-1 South, St. Augustine, FL 32086 | 2019-10-14 |
| 1518522648 | Marissa Marie Lynch | Physician Assistant | 100 Whetstone Pl Ste 102, St Augustine, FL 32086 | 2019-05-03 |
| 1346706991 | Castillo Transportation | Non-emergency Medical Transport (VAN) | 295 North Hidden Tree Dr, Saint Augustine, FL 32086 | 2019-02-19 |
| 1790255842 | Michelle Moore | In Home Supportive Care | 135 Jenkins St. Suite 105b #265, St.augustine, FL 32086 | 2018-12-03 |
| 1649740200 | Paul James Lietz IIi | Physical Therapist | One Orthopedic Place, Saint Augustine, FL 32086 | 2018-11-27 |
| 1548764707 | Oceanside Endodontics Od St. Augustine | Dentist | 2510 U.S. 1 South, Suite B, St. Augustine, FL 32086 | 2018-03-22 |
| 1023538329 | Joseph R Edwards | Physical Therapist | 968 Espinado Avenue, St Augustine, FL 32086 | 2017-06-27 |
| 1235662032 | Jennifer L Csenge | Dentist | 4327 Us Highway 1 S, St Augustine, FL 32086 | 2017-04-07 |
| 1336683663 | Lisa Brice | Social Worker | 248 Southpark Circle East, Saint Augustine, FL 32086 | 2016-12-06 |
| 1558813303 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 65 Whitehall Drive, Saint Augustine, FL 32086 | 2016-10-27 |
| Find all providers in zip 32086 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801072756 | Gregory A Gibson M D P A | Internal Medicine | 301 Health Park Blvd Ste 322, Saint Augustine, FL 32086-5771 | 2008-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669087722 | Norma Leticia Goodrich | Internal Medicine | 19265 Nw 252nd St, Okeechobee, FL 34972-6966 | 2020-09-14 |
| 1356811897 | Lake Behavioral Health Management | Internal Medicine | 225 W Canton Ave Ste 600, Winter Park, FL 32789-3181 | 2018-11-27 |
| 1528549490 | Ultra Health Providers of Florida | Internal Medicine | 105 Asterbrooke Dr, Deland, FL 32724 | 2018-08-28 |
| 1710464946 | Baptist Agewell Physicians Inc | Internal Medicine | 1350 13th Ave S Ste 118-a, Jacksonville Beach, FL 32250-3203 | 2018-07-20 |
| 1659891018 | Pocketdoc Physicians Pa | Internal Medicine | 333 Se 2nd Ave Ste 2000, Miami, FL 33131-2185 | 2017-06-26 |
| 1003349549 | On Call Wound Care LLC | Internal Medicine | 12798 Forest Hill Blvd Ste 205b, Wellington, FL 33414-4768 | 2017-04-11 |
| 1154781284 | Verimed Health Group Land O' Lakes, LLC | Internal Medicine | 2638 Narnia Way, Ste 101, Land O Lakes, FL 34638-7231 | 2016-03-02 |
| 1083082895 | Edith Maria Ortega | Internal Medicine | 528 Oceanfront, Neptune Beach, FL 32266 | 2015-09-10 |
| 1881083020 | Arnold Jay Simon, M.d. | Internal Medicine | 3175 S Congress Ave Ste 305, Palm Springs, FL 33461-2562 | 2015-01-12 |
| 1912300575 | Geriatrics and Hospitalists Associates | Internal Medicine | 3255 Cypress Legends Cir Apt 433, Fort Myers, FL 33905-5516 | 2014-09-26 |
| Find all providers with the same taxonomy | ||||
| City | SAINT AUGUSTINE |
| Zip Code | 32086 |
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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.