DR. MARK WILLIAM GIBSON (NPI# 1720083439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720083439 |
Entity Type | Individual |
Full Name | DR. MARK WILLIAM GIBSON |
Credential | D.C. |
Practice Address |
7a Reich Street Marsing ID 83639-0252 |
Mailing Address |
Po Box 252 7a Reich St. Marsing ID 83639-0252 |
Practice Telephone | 2088965520 |
Practice Fax Number | 2088969920 |
Mailing Telephone | 2089211781 |
Mailing Fax Number | 2088969920 |
Enumeration Date | 2005-06-17 |
Last Update Date | 2008-03-10 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 111N00000X | Chiropractor | CHIA-1130 | ID | Chiropractic Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
ID | 8078441 | 05 |
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 |
1619391802 | Mark Gibson | Orthotist | 3334 Capital Medical Blvd #400, Tallahassee, FL 32308-4470 | 2014-02-10 |
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 |
Street Address |
7A REICH STREET |
City | MARSING |
State | ID |
Zip Code | 83639-0252 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316117005 | Mna Gibson P.C. | Chiropractor | 7a Reich St., Marsing, ID 83639 | 2008-03-10 |
1235335415 | Marsing Ambulance Service Inc | Ambulance | 303 Main, Marsing, ID 83639 | 2007-06-25 |
1427254606 | Community Health Clinics Inc | Clinic/Center | 205 8th Ave W., Hwy 78, Marsing, ID 83639 | 2007-06-25 |
1518094648 | Kathleen J. Mckay | Chiropractor | 7 A Reich, Marsing, ID 83639 | 2007-02-27 |
1447227293 | Troy A Landes | Physician Assistant | 201 Main, Marsing, ID 83639 | 2006-03-01 |
1508480575 | Jodie D Callison | Dentist | 201 Main, Marsing, ID 83639 | 2020-06-04 |
1376058677 | Community Health Clinics Inc | Clinic/Center | 201 Main St, Marsing, ID 83639 | 2017-12-08 |
1962608141 | Community Health Clinics Inc | Clinic/Center | 201 Main Street, Marsing, ID 83639 | 2007-06-25 |
1336345511 | Community Health Clinics Inc | Clinic/Center | 201 Main, Marsing, ID 83639 | 2007-06-25 |
1538378781 | Community Health Clinics Inc | Clinical Medical Laboratory | 201 Main Street, Marsing, ID 83639 | 2007-05-22 |
Find all providers in zip 83639 |
Taxonomy Code | 111N00000X |
Grouping | Chiropractic Providers |
Classification | Chiropractor |
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316117005 | Mna Gibson P.C. | Chiropractor | 7a Reich St., Marsing, ID 83639 | 2008-03-10 |
1518094648 | Kathleen J. Mckay | Chiropractor | 7 A Reich, Marsing, ID 83639 | 2007-02-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124625488 | Cv Chiropractic Pllc | Chiropractor | 1201 E Gilbert Ave, Coeur D Alene, ID 83815-4958 | 2020-10-08 |
1780290981 | East Ridge Chiropractic, Pllc | Chiropractor | 1320 S Ammon Rd, Ammon, ID 83406-5810 | 2020-09-22 |
1124638143 | Madison J Wills | Chiropractor | 9196 W Emerald St Ste 120, Boise, ID 83704-8003 | 2020-08-04 |
1376161646 | Erena Martina Lanza | Chiropractor | 1224 1st St S Ste 304, Nampa, ID 83651-3963 | 2020-07-13 |
1285252619 | Kynan Tarnowski | Chiropractor | 16150 N High Desert St Ste 112, Nampa, ID 83687-5567 | 2020-07-13 |
1962027433 | Convergence Chiropractic Company | Chiropractor | 404 E Parkcenter Blvd Ste 170, Boise, ID 83706-7564 | 2020-06-10 |
1790300598 | Vancorp LLC | Chiropractor | 270 W Georgia Ave Ste 110, Nampa, ID 83686-2835 | 2020-06-08 |
1811519838 | Cody Wilhelm | Chiropractor | 1505 Madrona St N # 900c, Twin Falls, ID 83301-8318 | 2020-05-13 |
1467074559 | Amber R Dunford | Chiropractor | 3030 Glenbrook Dr, Hailey, ID 83333-7602 | 2020-05-11 |
1366071649 | Kevin Allen | Chiropractor | 237 N 2nd E Ste 106, Rexburg, ID 83440-4977 | 2020-04-07 |
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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.