MR. THEODORE DWAYNE GIBSON I (NPI# 1639152473) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639152473 |
| Entity Type | Individual |
| Full Name | MR. THEODORE DWAYNE GIBSON I |
| Credential | CST/CFA |
| Practice Address |
1500 S Lake Park Ave Hobart IN 46342-6638 |
| Mailing Address |
1671 Ruby Ct Hobart IN 46342-6507 |
| Practice Telephone | 2199476425 |
| Practice Fax Number | 2199476424 |
| Mailing Telephone | 2199451572 |
| Mailing Fax Number | 2199451572 |
| Enumeration Date | 2005-11-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZS0410X |
Specialist/Technologist, Other Specialization: Surgical Technologist |
Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245488998 | Theodore Gibson | Counselor | 499 Cooper Landing Rd, Cherry Hill, NJ 08002-2504 | 2008-09-07 |
| Street Address |
1500 S LAKE PARK AVE |
| City | HOBART |
| State | IN |
| Zip Code | 46342-6638 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346233574 | Aram Semerdjian | Radiology | 1500 S Lake Park Ave, Munster Radiology Group, Hobart, IN 46342-6638 | 2005-08-23 |
| 1275130841 | Giovanna Finigan | Occupational Therapy Assistant | 1500 S Lake Park Ave, Hobart, IN 46342-6699 | 2020-10-06 |
| 1699329185 | Allyson Trevino | Pharmacist | 1500 S Lake Park Ave, Hobart, IN 46342-6638 | 2019-08-01 |
| 1306401914 | Chasity Lynn Stahl | Nurse Anesthetist, Certified Registered | 1500 S Lake Park Ave, Hobart, IN 46342-6638 | 2019-05-08 |
| 1013497106 | 24 On Physician Partners, PC | Hospitalist | 1500 S Lake Park Ave, Hobart, IN 46342-6638 | 2018-08-17 |
| 1255819405 | Nichole Marie Patten | Nurse Practitioner | 1500 S Lake Park Ave, Hobart, IN 46342-6638 | 2018-07-31 |
| 1417445842 | Tia Sparks | Pharmacist | 1500 S Lake Park Ave, Hobart, IN 46342-6638 | 2018-05-01 |
| 1043708464 | Joyce C Smith | Pharmacist | 1500 S Lake Park Ave, Hobart, IN 46342-6638 | 2018-05-01 |
| 1962900696 | Laura Bertucci | Pharmacist | 1500 S Lake Park Ave, Hobart, IN 46342-6638 | 2018-01-29 |
| 1235637844 | Deborah Ann Evans | Pharmacist | 1500 S Lake Park Ave, Hobart, IN 46342-6638 | 2018-01-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952734295 | Carleen Kaucky | Nurse Practitioner | 1445 South Lake Park Ave, Hobart, IN 46342 | 2013-08-09 |
| 1679827133 | Fresenius Medical Care Nw Indiana, LLC | Clinic/Center | 1330 W. Wisconsin St., Hobart, IN 46342 | 2012-11-06 |
| 1356600548 | Accurate Home Health Inc | Home Health | 8792 E. Ridge Road, Suite A, Hobart, IN 46342 | 2012-05-09 |
| 1164728051 | Lynn Rentz | Mechanotherapist | 103 E.third St., Suite 1, Hobart, IN 46342 | 2011-02-10 |
| 1720214208 | Felipe Isip Chua Jr. | Physician Assistant | 101 West 61st Avenue, Hobart, IN 46342 | 2009-06-10 |
| 1326289067 | Sheila Anne Flynn | Registered Nurse | 101 W. 61st Ave., Hobart, IN 46342 | 2009-03-10 |
| 1194941021 | Arc Bridges, Inc | Custodial Care Facility | 3583 Randolph Drive, Hobart, IN 46342 | 2007-04-18 |
| 1164542940 | Felix Rosel Gozo Jr. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1354 S Lake Park Avenue, St Marys Spectrum Rehab Center Cardiac, Hobart, IN 46342 | 2007-03-29 |
| 1003932666 | Major Hospital | Skilled Nursing Facility | 4410 W 49th Ave, Hobart, IN 46342 | 2007-03-22 |
| 1295884682 | Marie Jean Mercado Hedges | Physical Therapist | 4530 16th St., Hobart, IN 46342 | 2007-01-09 |
| Find all providers in zip 46342 | ||||
| Taxonomy Code | 246ZS0410X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Surgical Technologist |
| Surgical technologists are allied health professionals, who are an integral part of the team of medical practitioners providing surgical care to patients. Surgical technologists work under the supervision of a surgeon to facilitate the safe and effective conduct of invasive surgical procedures, ensuring that the operating room environment is safe, that equipment functions properly, and that the operative procedure is conducted under conditions that maximize patient safety. Surgical technologists possess expertise in the theory and application of sterile and aseptic technique and combine the knowledge of human anatomy, surgical procedures, and implementation tools and technologies to facilitate a physician's performance of invasive therapeutic and diagnostic procedures. |
| Notes: Source: Association of Surgical Technologists, "Job Description: Surgical Technologist," 2014. [7/1/2014: code modified, title modified, definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710501002 | Patricia M Wilber | Specialist/Technologist, Other | 3930 Mezzanine Dr Ste D, Lafayette, IN 47905-8646 | 2020-06-02 |
| 1427617273 | Dawn Mckenzie | Specialist/Technologist, Other | 1411 S Creasy Ln Ste 200, Lafayette, IN 47905-7434 | 2019-06-06 |
| 1356714158 | Dorian Cheairs | Specialist/Technologist, Other | 316 E 60th Dr, Merrillville, IN 46410-3049 | 2015-11-03 |
| 1952718322 | Carrie Dray | Specialist/Technologist, Other | 2207 Bramble Way, Anderson, IN 46011-2834 | 2014-07-17 |
| 1245473321 | Jeffrey A Prater | Specialist/Technologist, Other | 1919 State St Ste 104, New Albany, IN 47150-6802 | 2009-04-20 |
| 1700062486 | Perfect Hands LLC | Specialist/Technologist, Other | 2702 Paoli Pike Apt 35, New Albany, IN 47150-5139 | 2008-01-13 |
| 1720276991 | Latisha D Biddle | Specialist/Technologist, Other | 1345 Unity Pl Ste 235, Lafayette, IN 47905 | 2007-10-12 |
| 1780871673 | Cynthia Kay Whited | Specialist/Technologist, Other | 1013 N. 13th Street, Lafayette, IN 47904-2011 | 2007-09-25 |
| 1548488588 | Anthony Wayne Elliott II | Specialist/Technologist, Other | 3300 Justinian, Jeffersonville, IN 47130-8630 | 2007-04-23 |
| 1952431637 | Michelle L Tabor | Specialist/Technologist, Other | 1345 S Creasy Ln, Suite 225, Lafayette, IN 47905 | 2007-03-06 |
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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.