KATHLEEN R GIBBONS (NPI# 1669876678) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669876678 |
| Entity Type | Individual |
| Full Name | KATHLEEN R GIBBONS |
| Credential | PA |
| Practice Address |
10701 New Georges Creek Rd Sw Frostburg MD 21532-1457 |
| Mailing Address |
Po Box 1671 Cumberland MD 21501-1671 |
| Practice Telephone | 3016893229 |
| Practice Fax Number | 3016891129 |
| Mailing Telephone | 2409648342 |
| Mailing Fax Number | 2409648337 |
| Enumeration Date | 2014-10-20 |
| Last Update Date | 2020-04-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | C07532 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
MA057172 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1050 W Industrial Blvd Ste 17, Cumberland, MD 215024331 | 2409649300 | 2409649310 |
| 23789 Garrett Hwy, Mc Henry, MD 215411338 | 2404884139 | 2404884956 |
| 301 S 7th Ave, Suite 3220, West Reading, PA 196111410 | 6103768671 | 6103766387 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215335773 | Kathleen Gibbons | Social Worker | 1601 Pennsylvania St Ne, #b-8, Albuquerque, NM 87110-5546 | 2014-12-16 |
| 1932265014 | Kathleen Gibbons | Acupuncturist | 334 Berlin Rd, Bolton, MA 01740-1322 | 2006-12-31 |
| 1174524235 | Kathleen E Gibbons | Nurse Anesthetist, Certified Registered | 15345 Bagley Rd, Middleburg Heights, OH 44130-4825 | 2005-08-10 |
| 1407496136 | Kathleen Gibbons | Speech-Language Pathologist | 8835 Gladden Hill Ln, Fort Mill, SC 29715-6008 | 2020-01-10 |
| 1912420241 | Kathleen R Gibbons | Student in an Organized Health Care Education/Training Program | 27100 Chardon Rd, Cleveland, OH 44143-1116 | 2017-07-19 |
| 1710382122 | Kathleen Gibbons | Social Worker | 160 N Main Ave, Albany, NY 12206-1821 | 2014-10-28 |
| 1346433729 | Kathleen Gibbons | Licensed Practical Nurse | 100 High St, Buffalo, NY 14203-1126 | 2007-08-20 |
| 1871614529 | Kathleen Mary Gibbons | Anesthesiology | 1500 E Medical Center Dr, 1h247 University Hospital, Ann Arbor, MI 48109-5048 | 2007-04-02 |
| 1306865951 | Kathleen K Gibbons | Family Medicine | 6131 S Norcross Tucker Rd, Ste 700, Norcross, GA 30093-5536 | 2006-07-18 |
| Street Address |
10701 NEW GEORGES CREEK RD SW |
| City | FROSTBURG |
| State | MD |
| Zip Code | 21532-1457 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730164492 | Isagani D Laurencio | General Practice | 10701 New Georges Creek Rd Sw, Frostburg, MD 21532-1457 | 2005-12-14 |
| 1770733248 | Nicole R Bonner | Nurse Practitioner | 10701 New Georges Creek Rd Sw, Frostburg, MD 21532-1457 | 2008-09-22 |
| 1194858266 | Susan M Mcmullen | Nurse Practitioner | 10701 New Georges Creek Rd Sw, Frostburg, MD 21532-1457 | 2007-03-14 |
| 1639206410 | Upmc Western Maryland Corporation | Physiological Laboratory | 10701 New Georges Creek Rd Sw, Frostburg, MD 21532-1457 | 2007-02-27 |
| 1952495079 | Upmc Western Maryland Corporation | Clinic/Center | 10701 New Georges Creek Rd Sw, Frostburg, MD 21532-1457 | 2006-10-03 |
| 1518071950 | Heidi J Stout | Physician Assistant | 10701 New Georges Creek Rd Sw, Frostburg, MD 21532-1457 | 2006-08-19 |
| 1811957202 | Jennifer L Barlow | Nurse Practitioner | 10701 New Georges Creek Rd Sw, Frostburg, MD 21532-1457 | 2006-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740709732 | Kennedy Alxya Logsdon | Specialist/Technologist | 100 Dr. Gasmick Lane, Frostburg, MD 21532 | 2017-09-12 |
| 1699130419 | Jessica Bittinger | Occupational Therapy Assistant | 1 Kaylor Circle, Frostburg, MD 21532 | 2015-12-21 |
| 1689013138 | Kevin R Simonson | Psychologist | 101 Braddock Rd Frostburg State University, 101 Sand Spring Hall, Frostburg, MD 21532 | 2013-06-18 |
| 1114266897 | Tara Renee Robison | Physical Therapy Assistant | One Kaylor Circle, Frostburg, MD 21532 | 2013-01-31 |
| 1821133703 | Diane D Romaine | Dentist | 151 Bishop Murphy Drive, Frostburg, MD 21532 | 2007-02-20 |
| 1932669231 | Jennifer Lou Anto | Nurse Practitioner | 101 Braddock Rd, Frostburg, MD 21532 | 2019-03-22 |
| 1659610186 | Shanalyn Michelle Reighard | Physical Therapy Assistant | One Kaylor Circle, Frostburg, MD 21532 | 2013-02-04 |
| 1639407133 | Suanne Marie Lewis | Psychologist | 420 Crestview Dr, Frostburg, MD 21532-1100 | 2009-11-23 |
| 1265499016 | Western Maryland Health System Corporation | Skilled Nursing Facility | 48 Tarn Ter, Frostburg, MD 21532-1217 | 2006-04-26 |
| 1669545810 | Dean Andrew Mulcaster | Physical Therapy Assistant | 48 Tarn Ter, Frostburg, MD 21532-1217 | 2006-11-16 |
| Find all providers in zip 21532 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518071950 | Heidi J Stout | Physician Assistant | 10701 New Georges Creek Rd Sw, Frostburg, MD 21532-1457 | 2006-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427659325 | Stephanie Liss | Physician Assistant | 1003 Willowleaf Way, Potomac, MD 20854-2937 | 2020-11-05 |
| 1306447495 | Naftali Zapinsky | Physician Assistant | 3507 Labyrinth Rd, Baltimore, MD 21215-1731 | 2020-11-04 |
| 1306447768 | Elizabeth Kolbe Schneider | Physician Assistant | 2205 Deadora Dr, Bel Air, MD 21015-8521 | 2020-11-03 |
| 1982204160 | Bich-hanh Le | Physician Assistant | 16328 Decker Pl, Derwood, MD 20855-2181 | 2020-10-28 |
| 1972102416 | Francesca Mertan | Physician Assistant | 829 Concorde Cir Apt 4402, Linthicum Heights, MD 21090-1780 | 2020-10-24 |
| 1235738683 | Ester Dahee Kim | Physician Assistant | 2400 W Belvedere Ave, Baltimore, MD 21215-5216 | 2020-10-17 |
| 1245838804 | Erin Washington | Physician Assistant | 2708 Tallowtree Rd, Woodstock, MD 21163-1462 | 2020-10-15 |
| 1669070991 | Niklavs Peteris Eglitis | Physician Assistant | 905 Paulsboro Dr, Rockville, MD 20850-3027 | 2020-10-09 |
| 1922605583 | Kurt William Moulton | Physician Assistant | Health Center At Ward and West 8000 York Rd, Towson, MD 21252-0001 | 2020-10-07 |
| 1215541404 | Aaron Mccauley | Physician Assistant | 3 Dunhaven Pl Apt 2d, Nottingham, MD 21236-3161 | 2020-09-03 |
| 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.