MARK GIBSON


Address: 3334 Capital Medical Blvd #400, Tallahassee, FL 32308-4470
Phone: 8508778174

MARK GIBSON (NPI# 1619391802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1619391802
Entity Type Individual
Full Name MARK GIBSON
Credential CPO
Practice Address 3334 Capital Medical Blvd #400
Tallahassee
FL 32308-4470
Practice Telephone 8508778174
Practice Fax Number 8508775636
Mailing Telephone 8508778174
Mailing Fax Number 8508775636
Enumeration Date 2014-02-10
Last Update Date 2014-11-13
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 222Z00000X Orthotist POR276 FL Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Y 224P00000X Prosthetist POR276 FL Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL 951939400 05

Other Providers MARK GIBSON

NPI Name Taxonomy Address Enumeration
1922434380 Mark S. Gibson Specialist/Technologist, Other 2104 Blind Pond Ave, Lutz, FL 33549-5580 2013-09-17
1215211008 Mark J. Gibson Social Worker 3610 American River Dr Ste 140, Sacramento, CA 95864-5919 2011-09-28
1922324276 Mark Duane Gibson Military Health Care Provider Uss Louisville, Fpo, AP 96671-2404 2010-04-12
1225115561 Mark Tanner Gibson Psychologist 175 River View Dr, Green River, WY 82935-4811 2006-11-01
1437133444 Mark C Gibson Optometrist 16306 E Lake Shore Dr, Austin, TX 78734-1132 2005-12-02
1720083439 Mark William Gibson Chiropractor 7a Reich Street, Marsing, ID 83639-0252 2005-06-17
1417231465 Mark W Gibson Pharmacist 1982 Eight Mile Rd, Cincinnati, OH 45255-2609 2011-10-07
1174845259 Mark Anthony Gibson II Physical Therapist 1028 E Main St, Morehead, KY 40351-1328 2010-02-17
1710122106 Mark Alan Gibson Radiology 545 Ne 47th Ave Ste 215, Portland, OR 97213-2237 2008-12-13
1780737437 Mark S Gibson Emergency Medicine 3200 E Racine St, Janesville, WI 53546-2343 2007-01-18

Office Location

Street Address 3334 CAPITAL MEDICAL BLVD #400
City TALLAHASSEE
State FL
Zip Code 32308-4470

Providers in the same location

NPI Name Taxonomy Address Enumeration
1518934694 Hank Lawrence Hutchinson Orthopaedic Surgery 3334 Capital Medical Blvd #400, Tallahassee, FL 32308-4470 2006-03-07
1710129408 Edward Robert Jackson II Orthopaedic Surgery 3334 Capital Medical Blvd #400, Tallahassee, FL 32308-4470 2009-03-27
1528145356 Kimberly R Hagen Nurse Practitioner 3334 Capital Medical Blvd #400, Tallahassee, FL 32308 2006-11-01

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1215588306 Jmc Tallahassee, LLC Preventive Medicine 1838 Jacliff Court, Tallahassee, FL 32308 2019-09-20
1972165108 Covenant Home Health Care, LLC Home Health 1921 Capital Circle Ne, Tallahassee, FL 32308 2019-07-09
1548735798 North Florida Rehab Solutions Hospitalist 1675 Riggins Road, Dr Steele Lancaster, Tallahassee, FL 32308 2018-10-03
1013491596 Injury and Rehab Centers of North Florida, LLC Neuromusculoskeletal Medicine & OMM 2268 Wednesday Street, Tallahassee, Florida, FL 32308 2018-09-20
1487133625 Genoa Healthcare, LLC Durable Medical Equipment & Medical Supplies 2634 Capital Circle Ne, Building C, Suite 156, Tallahassee, FL 32308 2018-08-08
1629566724 Total Health & Wellness Home Care, LLC Home Health 1325 Mahan Dr., Tallahassee, FL 32308 2018-04-25
1669979480 Beth North, Lcsw, LLC Social Worker 1325 Mahan Drive, Tallahassee, FL 32308 2018-04-09
1750885919 Robert E Ashmore Jr Md Obstetrics & Gynecology 2770 Capitol Medical Blvd, Suite 100, Tallahassee, FL 32308 2018-03-22
1225547243 William Michael Kunkle Physician Assistant 4004 Norton Ln, Suite 101, Tallahassee, FL 32308 2017-09-21
1235657834 Traci R Raybon Occupational Therapist 1924 Hidden Valley, Tallahassee, FL 32308 2017-09-03
Find all providers in zip 32308

Taxonomy Information

Taxonomy Code 224P00000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Prosthetist

Taxonomy Definition

A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1063740066 Mitchell W Bowman Prosthetist 3334 Capital Medical Blvd, Suite 400, Tallahassee, FL 32308-8405 2009-12-02
1558453118 Christopher J Wells Prosthetist 3334 Capital Medical Blvd, Ste. 100, Tallahassee, FL 32308-8405 2006-09-29

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1831796275 Mireille Alexis Prosthetist 4376 Fl-7, Coral Springs, FL 33073 2020-10-08
1588279434 Kourtney James Prosthetist 715 Lori Dr Apt 304, Palm Springs, FL 33461-7104 2020-09-08
1750910790 Gabriela Jamur Prosthetist 11308 Bonita Beach Rd Se Ste 105-a, Bonita Springs, FL 34135-5912 2020-04-02
1013543701 Kateau Cerisme Prosthetist 320 N Magnolia Ave, Orlando, FL 32801-1624 2020-03-13
1780217174 Amber Baker Prosthetist 1340 Naples Cir Apt 309, Rockledge, FL 32955-2577 2020-02-13
1992336192 Antakeisha Lavonte Hepburn Prosthetist 2326 Nw 51st St, Miami, FL 33142-3677 2020-01-28
1164067211 Rayna K Bradley Prosthetist 148 Lake Ave, Maitland, FL 32751-6424 2019-11-13
1376001982 Kerryann Williams Prosthetist 6515 Nw 1st St, Margate, FL 33063-5101 2019-03-04
1528526126 Latoya Patrick Prosthetist 11361 Sheffield Rd, Spring Hill, FL 34608-2260 2019-03-04
1275091878 Debbie Denizard Prosthetist 9560 Lem Turner Rd, Jacksonville, FL 32208-7501 2019-03-04
Find all providers with the same taxonomy

Competitor

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City TALLAHASSEE
Zip Code 32308

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Dataset Information

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.

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