KYLE GIBSON (NPI# 1679008635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679008635 |
| Entity Type | Individual |
| Full Name | KYLE GIBSON |
| Practice Address |
5409 Avenue O Fort Madison IA 52627-9601 |
| Mailing Address |
10050 S Route N Columbia MO 65203-8998 |
| Practice Telephone | 3193761135 |
| Mailing Telephone | 5738080722 |
| Enumeration Date | 2017-04-27 |
| Last Update Date | 2017-04-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 087297 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073047478 | Kyle Steven Gibson | Nurse Practitioner | 743 Spring St Ne, Trauma & Acute Care Surgery, Gainesville, GA 30501-3715 | 2017-04-12 |
| 1962806208 | Kyle M. Gibson | Physician Assistant | 8770 Ohio River Rd, Wheelersburg, OH 45694-1918 | 2014-10-15 |
| 1386921260 | Kyle Mark Gibson | Specialist/Technologist | 1440 Monroe St, Madison, WI 53711-2051 | 2011-11-07 |
| 1942591391 | Kyle Gibson | Hospitalist | 3400 Spruce St, 5 Maloney, Philadelphia, PA 19104-4238 | 2011-04-20 |
| Street Address |
5409 AVENUE O |
| City | FORT MADISON |
| State | IA |
| Zip Code | 52627-9601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003814179 | Michael D David | Family Medicine | 5409 Avenue O, Fort Madison, IA 52627-9601 | 2005-07-12 |
| 1205315116 | Michelle Lynn Hornung | Nurse Practitioner | 5409 Avenue O, Fort Madison, IA 52627-9601 | 2018-08-10 |
| 1457877177 | Carrie Skibba | Nurse Practitioner | 5409 Avenue O, Fort Madison, IA 52627-9601 | 2017-08-15 |
| 1659896587 | Nicole Frances Wilcox | Nurse Practitioner | 5409 Avenue O, Fort Madison, IA 52627-9601 | 2017-08-11 |
| 1902327604 | Bobbi Jo Marshall | Nurse Practitioner | 5409 Avenue O, Fort Madison, IA 52627-9601 | 2017-07-03 |
| 1629506829 | Mariah Skelley | Registered Nurse | 5409 Avenue O, Fort Madison, IA 52627 | 2017-06-01 |
| 1821531203 | Rural Surgical Relief, PC | Surgery | 5409 Avenue O, Fort Madison, IA 52627-9601 | 2016-12-02 |
| 1700331311 | Gwendolyn Scott | Nurse Practitioner | 5409 Avenue O, Fort Madison, IA 52627-9601 | 2016-08-24 |
| 1518349539 | Ruth Barosy | Family Medicine | 5409 Avenue O, Fort Madison, IA 52627-9601 | 2015-06-25 |
| 1598143307 | Tatenda Goronga | Family Medicine | 5409 Avenue O, Fort Madison, IA 52627-9601 | 2015-05-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538421839 | Midwest Respiratory Care Inc. | Durable Medical Equipment & Medical Supplies | 2310 Ave L, Fort Madison, IA 52627 | 2012-06-12 |
| 1013169929 | Sunnybrook of Ft. Madison | Assisted Living Facility | 5052 River Valley Road, Ft. Madison, IA 52627 | 2008-10-22 |
| 1013164532 | Navaro Noah Spartaco | Pathology | 5444 Ave O, Fort Madison, IA 52627 | 2008-08-27 |
| 1679794432 | Paul Scot Kunch | Dentist | 1605 Avenue A, Fort Madison, IA 52627 | 2007-05-01 |
| 1245364033 | David R Courtney | Dentist | 525 Avenue G, Fort Madison, IA 52627 | 2007-03-15 |
| 1578664249 | Rashid Pharmacy Plc | Durable Medical Equipment & Medical Supplies | 2404 Ave L, Fort Madison, IA 52627 | 2006-09-26 |
| 1033174628 | Leah Steffensmeier | Obstetrics & Gynecology | Fort Madison Physicians and Surgeons, 5409 Avenue O, Fort Madison, IA 52627 | 2006-04-18 |
| 1396705190 | Larry George Rounds | Chiropractor | 1605 Ave E, Fort Madison, IA 52627 | 2006-03-24 |
| 1063490407 | Air Evac Ems Inc | Ambulance | 5433 Avenue O, Fort Madison, IA 52627 | 2006-01-05 |
| 1992281984 | L.d Peck,pc | Optometrist | 716 Avenue G, Fort Madison, IA 52627 | 2018-07-13 |
| Find all providers in zip 52627 | ||||
| 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 |
|---|---|---|---|---|
| 1164560280 | Vivian Rose Palmer | Physician Assistant | 2031 Avenue D, Fort Madison, IA 52627-2412 | 2007-02-01 |
| 1649262890 | Paul Francis Ostby | Physician Assistant | 5409 Avenue O, Fort Madison, IA 52627-9601 | 2005-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679189971 | Amber Rae Rupiper | Physician Assistant | 518 Locus Street, Davenport, IA 52803 | 2020-09-22 |
| 1992311435 | Elli Kay Vore | Physician Assistant | 4327 129th St, Urbandale, IA 50323-2480 | 2020-09-21 |
| 1023624699 | Vivara Rages | Physician Assistant | 3054 Cherrywood Dr, Bettendorf, IA 52722-7550 | 2020-09-19 |
| 1598371270 | Samantha Delores Gartner | Physician Assistant | 518 W Locust St # 287, Davenport, IA 52803-2829 | 2020-09-18 |
| 1912521444 | Charles Bradley Walters | Physician Assistant | 201 S Clinton St # 168, Iowa City, IA 52240-4034 | 2020-06-01 |
| 1972124956 | Michaela J Maliszewski | Physician Assistant | 201 Ridge St Ste 302, Council Bluffs, IA 51503-4643 | 2020-05-01 |
| 1013544667 | Annie Penquite | Physician Assistant | 6001 Westown Pwky, West Des Moines, IA 50266 | 2020-03-24 |
| 1336774488 | Jakob J. Olson | Physician Assistant | 2751 Northgate Dr Ste 1, Iowa City, IA 52245-9509 | 2020-03-10 |
| 1215561006 | Paul David Kretkowski | Physician Assistant | 714 N Johnson St, Iowa City, IA 52245-2014 | 2020-03-02 |
| 1154962983 | Megan Wulf | Physician Assistant | 24141 80th Ave, Walcott, IA 52773-9737 | 2019-10-02 |
| Find all providers with the same taxonomy | ||||
| City | FORT MADISON |
| Zip Code | 52627 |
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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.