DR. MICHAEL JEREMIAH GIBSON (NPI# 1609071984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609071984 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL JEREMIAH GIBSON |
| Credential | M.D. |
| Practice Address |
401 Thompson Blvd Union SC 29379-1553 |
| Mailing Address |
200 Lincolnshire Blvd Columbia SC 29203-1432 |
| Practice Telephone | 8644274200 |
| Practice Fax Number | 8644274400 |
| Mailing Telephone | 8037544864 |
| Mailing Fax Number | 8037548291 |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 2083P0901X |
Preventive Medicine Specialization: Public Health & General Preventive Medicine |
21520 | SC | Allopathic & Osteopathic Physicians |
| X | 208D00000X | General Practice | 21520 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 215207 | 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 |
| 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 |
| 1114494994 | Michael Gibson | Case Manager/Care Coordinator | 1221 W Lakeview Ave, Pensacola, FL 32501-1857 | 2018-10-30 |
| Street Address |
401 THOMPSON BLVD |
| City | UNION |
| State | SC |
| Zip Code | 29379-1553 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780049072 | Dorothy Craig | Social Worker | 201 Herndon, Union, SC 29379 | 2015-12-31 |
| 1588049662 | Spartanburg Medical Center | Internal Medicine | 408 North Duncan By Pass, Suite L, Union, SC 29379 | 2015-07-30 |
| 1891045118 | Crystal Berry Earls | Pharmacist | 109 Beechtree Place, Union, SC 29379 | 2012-09-13 |
| 1871732271 | Union Hospital District Dba Cha Family Medicine | Family Medicine | 801 West Main St, Union, SC 29379 | 2009-02-10 |
| 1336388735 | Union Hospital District | Internal Medicine | 408 N Duncan By Pass, Suite L, Union, SC 29379 | 2009-02-10 |
| 1215185178 | Oakmont of Union Sc LLC | Assisted Living Facility | 709 Rice Street, Union, SC 29379 | 2008-09-04 |
| 1700072444 | Union Hospital District | Obstetrics & Gynecology | 720 South Duncan Bypass, Suite C, Union, SC 29379 | 2007-09-17 |
| 1154449130 | Whitney Connolly Leary | Speech-Language Pathologist | 720 A South Duncan Bypass, Union, SC 29379 | 2007-03-27 |
| 1467577353 | Kathryn Cook Scales | Counselor | 323 W South Street, Union, SC 29379 | 2007-03-20 |
| 1104957901 | Owen K Woolever | Physical Therapist | 720 A S Duncan Bypass, Union, SC 29379 | 2007-03-07 |
| Find all providers in zip 29379 | ||||
| Taxonomy Code | 2083P0901X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Public Health & General Preventive Medicine |
| Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. American Osteopathic Board of Preventive Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346720885 | Ann Blair Kennedy | Preventive Medicine | 60 Presidents Dr, Gray Court, SC 29645-6887 | 2018-08-15 |
| 1073040291 | Jeamil W Hardin | Preventive Medicine | 529 Sirrine St, Chester, SC 29706-2728 | 2017-05-18 |
| 1861860918 | William Floyd Jessee | Preventive Medicine | 9 River Club Dr, Fripp Island, SC 29920-7154 | 2015-09-07 |
| 1669802559 | Passport Health Holdings LLC | Preventive Medicine | 260 W Coleman Blvd, Ste B, Mt Pleasant, SC 29464-3666 | 2013-11-14 |
| 1609206564 | Passport Health Holdings LLC | Preventive Medicine | 2318-b Sunset Blvd, West Columbia, SC 29169-4716 | 2013-11-13 |
| 1043640048 | Passport Health Holdings LLC | Preventive Medicine | 3691 Palmetto Point Blvd, Ste 301, Myrtle Beach, SC 29588-1202 | 2013-11-13 |
| 1790084515 | Robert Frank Marino | Preventive Medicine | 2213 Bee Ridge Rd, Columbia, SC 29223-6802 | 2011-03-18 |
| 1396076071 | Lena Bretous | Preventive Medicine | 4104 Percival Rd, Columbia, SC 29229-8307 | 2010-01-20 |
| 1043480932 | John Branham Tomarchio | Preventive Medicine | 1055 Ribaut Rd Ste 30, Beaufort, SC 29902 | 2008-03-06 |
| 1275661076 | Arnold Leo Denler Jr. | Preventive Medicine | 144 Romaine Dr, Spartanburg, SC 29307-3013 | 2007-03-01 |
| Find all providers with the same taxonomy | ||||
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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.