SOUTH GIBSON MEDICAL CLINIC INC. (NPI# 1659538841) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659538841 |
| Entity Type | Organization |
| Organization Name | SOUTH GIBSON MEDICAL CLINIC INC. |
| Practice Address |
7861 S Professional Dr Fort Branch IN 47648-8405 |
| Mailing Address |
Po Box 185 Fort Branch IN 47648-0185 |
| Practice Telephone | 8127534181 |
| Practice Fax Number | 8127534399 |
| Mailing Telephone | 8127534181 |
| Mailing Fax Number | 8127534399 |
| Enumeration Date | 2008-05-16 |
| Last Update Date | 2008-07-30 |
| Authorized Official Name | DR. QUINTEN B EMERSON (PROVIDER/OWNER) |
| Authorized Official Telephone | 8127534181 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 01027038 | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100122120 | 05 |
| Street Address |
7861 S PROFESSIONAL DR |
| City | FORT BRANCH |
| State | IN |
| Zip Code | 47648-8405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427065341 | Quentin B Emerson | Family Medicine | 7861 S Professional Dr, Fort Branch, IN 47648-8405 | 2006-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184024242 | Gibson General Hospital, Inc | Nurse Practitioner | 7851 S Professional Dr, Fort Branch, IN 47648 | 2014-08-26 |
| 1821216599 | Demetra G Tolley | Speech-Language Pathologist | 3900e 750s, Ft. Branch, IN 47648 | 2007-04-20 |
| 1376679985 | Wayne Patrick Murphy | Chiropractor | 902 E Vine St, Fort Branch, IN 47648 | 2007-02-26 |
| 1528187333 | Murphy Chiropractic Services Inc | Chiropractor | 902 E Vine St, Fort Branch, IN 47648 | 2007-03-29 |
| 1932225372 | Tulip Tree Health Services of Gibson County, Inc. | Dentist | 123 N Mccreary St, Fort Branch, IN 47648 | 2007-03-21 |
| 1982730503 | Tina Marie Murphy | Chiropractor | 902 E Vine St, Fort Branch, IN 47648 | 2007-02-26 |
| 1922014158 | Bruce Holder | Dentist | 203 W Vine St, Fort Branch, IN 47648-1035 | 2006-07-31 |
| 1831191030 | Mellisa A Hall | Nurse Practitioner | 123 N Mccreary St, Tulip Tree Family Health, Fort Branch, IN 47648-1313 | 2005-06-01 |
| 1194331371 | Martha Amanda Newcomb | Nurse Practitioner | 123 N Mccreary St, Fort Branch, IN 47648-1313 | 2020-09-22 |
| 1619431566 | Heath Christian Kohlmeier | Nurse Practitioner | 123 N Mccreary St, Fort Branch, IN 47648-1313 | 2019-01-24 |
| Find all providers in zip 47648 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457824203 | Deaconess Clinic Inc | Family Medicine | 7898 S Professional Dr, Fort Branch, IN 47648-8405 | 2019-01-04 |
| 1427065341 | Quentin B Emerson | Family Medicine | 7861 S Professional Dr, Fort Branch, IN 47648-8405 | 2006-08-02 |
| 1386648343 | Larry W Lutz | Family Medicine | 802 E Oak St, Fort Branch, IN 47648-1666 | 2005-06-08 |
| 1285880179 | Deaconess Clinic, Inc | Family Medicine | 802 E Oak St, Fort Branch, IN 47648-1666 | 2008-08-12 |
| 1306957097 | Deaconess Hospital, Inc | Family Medicine | 802 E Oak St, Fort Branch, IN 47648-1666 | 2006-08-31 |
| 1346299724 | Jared J Kocher | Family Medicine | 802 E Oak St, Fort Branch, IN 47648-1666 | 2006-05-10 |
| 1023002250 | Adrian L Carter | Family Medicine | 802 E Oak St, Fort Branch, IN 47648-1666 | 2005-09-02 |
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|---|---|---|---|---|
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| 1740887298 | Northshore Health Centers, Inc. | Family Medicine | 651 W Morgan Ave Rm F168, Chesterton, IN 46304-2243 | 2020-10-07 |
| 1144836990 | Rachel Leigh Anderson | Family Medicine | 996 Bard Ln, Carmel, IN 46032-1072 | 2020-09-17 |
| 1073125225 | Relymd Medical Group In, LLC | Family Medicine | 9221 Crawfordsville Rd, Indianapolis, IN 46234-1521 | 2020-08-19 |
| 1386252757 | Eventus Wholehealth Midwest Inc | Family Medicine | 2100 Midway St # 3722, Columbus, IN 47201-3722 | 2020-07-21 |
| 1770105801 | My Metabolism | Family Medicine | 14342 W Prevail Dr, Carmel, IN 46033-7004 | 2020-05-12 |
| 1104452200 | Little Company of Mary Hospital of Indiana Inc | Family Medicine | 695 W 2nd St Ste D, Jasper, IN 47546-3240 | 2020-03-20 |
| 1578199345 | Stephanie Anne Dill | Family Medicine | 1101 Michigan Address, Logansport, IN 46947 | 2020-03-12 |
| 1861027641 | Megan Chloe Nonte | Family Medicine | 837 Bellbrook Rd, Loogootee, IN 47553-4612 | 2020-03-11 |
| 1477192151 | Debra Susan Hayes | Family Medicine | 455 W Industrial Dr, Terre Haute, IN 47802-9266 | 2019-12-30 |
| Find all providers with the same taxonomy | ||||
| City | FORT BRANCH |
| Zip Code | 47648 |
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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.