SCOTT HOWARD GIBSON (NPI# 1750513461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750513461 |
| Entity Type | Individual |
| Full Name | SCOTT HOWARD GIBSON |
| Credential | DO |
| Practice Address |
107 E Oak Ave Flagstaff AZ 86001 |
| Mailing Address |
1200 N Beaver St Flagstaff AZ 86001-3118 |
| Practice Telephone | 9287797880 |
| Mailing Telephone | 9282136235 |
| Mailing Fax Number | 9282136292 |
| Enumeration Date | 2009-08-13 |
| Last Update Date | 2020-09-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 006097 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 799593 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1485 N Turquoise Dr Ste 200, Flagstaff, AZ 86001 | 9287747757 | 9282263071 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528595501 | Scott Robert Gibson | Dentist | 1515 E Us Highway 223, Adrian, MI 49221-4456 | 2017-05-22 |
| 1124429766 | Scott Anthony Gibson | Counselor | 805 Commerce Dr, Leitchfield, KY 42754 | 2014-09-15 |
| 1447326897 | Scott David Gibson | Social Worker | 19 Dewitt St, Suite 2, Middletown, NY 10940 | 2006-11-28 |
| 1033164629 | Scott C Gibson | Social Worker | 18-4 E Dundee Rd Ste 210, Barrington, IL 60010-5277 | 2006-05-23 |
| 1639569320 | Scott Gibson | Nurse Anesthetist, Certified Registered | 830 S Gloster St, Tupelo, MS 38801-4934 | 2015-02-02 |
| 1376807271 | Scott Kimball Gibson | Registered Nurse | 4212 N 16th St, Phoenix, AZ 85016-5319 | 2012-06-26 |
| 1851688436 | Scott Oakley Gibson | Internal Medicine | 2500 N State St, Dept. of Medicine, Jackson, MS 39216-4500 | 2011-07-05 |
| 1205983343 | Scott Wesley Gibson | Dentist | 3813 S Kiwanis Cir, Sioux Falls, SD 57105-4266 | 2007-01-04 |
| 1932282191 | Scott Gibson | Physician Assistant | 4101 N Roxboro St, Durham, NC 27704-2121 | 2006-10-23 |
| 1811931850 | Scott J Gibson | Counselor | 7200 E Indiana St, Evansville, IN 47715-2753 | 2006-06-16 |
| Street Address |
107 E OAK AVE |
| City | FLAGSTAFF |
| State | AZ |
| Zip Code | 86001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316931702 | Jon R Shereck | Orthopaedic Surgery | 107 E Oak Ave, Flagstaff, AZ 86001 | 2005-08-31 |
| 1013546340 | Zachary Scott Hinger | Orthopaedic Surgery | 107 E Oak Ave, Flagstaff, AZ 86001-1818 | 2020-04-08 |
| 1548746928 | Sarah Wyard | Nurse Practitioner | 107 E Oak Ave, Flagstaff, AZ 86001-1818 | 2018-07-18 |
| 1255799789 | Iris Maczura | Nurse Practitioner | 107 E Oak Ave, Suite 201, Flagstaff, AZ 86001-1818 | 2016-01-28 |
| 1568870988 | Megan Marie Alatorre | Physician Assistant | 107 E Oak Ave, Flagstaff, AZ 86001-1818 | 2014-07-29 |
| 1740694470 | Northern Arizona Healthcare Provider Group, LLC | Family Medicine | 107 E Oak Ave, Flagstaff, AZ 86001-1818 | 2014-06-20 |
| 1003230830 | Northern Arizona Healthcare Provider Group, LLC | Psychologist | 107 E Oak Ave, Flagstaff, AZ 86001-1818 | 2014-02-14 |
| 1104260421 | Northern Arizona Healthcare Provider Group, LLC | Clinical Neuropsychologist | 107 E Oak Ave, Flagstaff, AZ 86001-1818 | 2013-04-18 |
| 1801133566 | Northern Arizona Healthcare Provider Group, LLC | Family Medicine | 107 E Oak Ave, Flagstaff, AZ 86001-1818 | 2013-01-14 |
| 1508119348 | Northern Arizona Healthcare Provider Group, LLC | Psychiatry & Neurology | 107 E Oak Ave, Flagstaff, AZ 86001-1818 | 2012-10-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427658756 | Marlenne Adair Escobar-mendoza | Specialist/Technologist | 1705 South San Francisco Street, Flagstaff, AZ 86001 | 2020-10-27 |
| 1962033712 | Laura-lee Prescott | Social Worker | Northern Az Va Healthcare System, Flagstaff Cboc, 1300 W. University Ave., Suite 300, Flagstaff, AZ 86001 | 2020-01-30 |
| 1194360784 | Trinity Medical Consultants Pllc | Internal Medicine | 1521 N Cliff Drive, Flagstaff, AZ 86001 | 2019-11-07 |
| 1154849610 | Altacare, LLC | Family Medicine | 2700 S Woodlands Village Blvd Ste 700, Flagstaff, AZ 86001 | 2017-09-05 |
| 1487174926 | Lindsey Marie Forstie | Nurse Practitioner | 7263 E Dreamview Trail, Flagstaff, AZ 86001 | 2017-06-26 |
| 1255860763 | Welbrook Senior Living Flagstaff LLC | Skilled Nursing Facility | 1521 N Pine Cliff Dr, Flagstaff, AZ 86001 | 2017-06-08 |
| 1912432675 | Ryan Tiscareno | Specialist/Technologist | 621 West Cherry Ave, Flagstaff, AZ 86001 | 2017-05-01 |
| 1629432380 | Behavioral Consultation Services, Inc. | Clinic/Center | 345 S. River Run Road, Suite 200, Flagstaff, AZ 86001 | 2016-04-08 |
| 1275920928 | Junli Gallagher | Speech-Language Pathologist | 1215 N. Beaver St, Flagstaff, AZ 86001 | 2015-04-21 |
| 1932592599 | Kristen Flugstad Psyd, LLC | Psychologist | 125 East Elm Avenue #203, Flagstaff, AZ 86001 | 2015-03-06 |
| Find all providers in zip 86001 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447503354 | Eric Robert Pitcher | Orthopaedic Surgery | 77 W. Forest Ave Ste 301, Flagstaff, AZ 86001 | 2012-10-17 |
| 1316931702 | Jon R Shereck | Orthopaedic Surgery | 107 E Oak Ave, Flagstaff, AZ 86001 | 2005-08-31 |
| 1013320431 | Stephen Joseph Ros | Orthopaedic Surgery | 1485 N Turquoise Dr Ste 200, Flagstaff, AZ 86001-2000 | 2014-06-03 |
| 1639433048 | Ross Jones | Orthopaedic Surgery | 77 W Forest Ave Ste 301, Flagstaff, AZ 86001 | 2012-06-29 |
| 1508123175 | Brianna Nicole Patti | Orthopaedic Surgery | 77 W Forest Ave Ste 301, Flagstaff, AZ 86001-1483 | 2012-04-19 |
| 1609132174 | Cody Loomis Martin | Orthopaedic Surgery | 1485 N Turquoise Dr Ste 200, Flagstaff, AZ 86001 | 2012-04-09 |
| 1437440070 | Christopher Michael Diefenbach | Orthopaedic Surgery | 107 E Oak Ave, Flagstaff, AZ 86001 | 2011-05-01 |
| 1700094125 | John H Flint | Orthopaedic Surgery | 77 West Forest Avenue, Suite 301, Flagstaff, AZ 86001-1483 | 2007-05-18 |
| 1760507065 | Kirk Alan Butler | Orthopaedic Surgery | 77 West Forest Avenue, Suite 301, Flagstaff, AZ 86011-1483 | 2007-03-19 |
| 1174653638 | Dana Hasten | Orthopaedic Surgery | 77 West Forest Avenue, Suite 301, Flagstaff, AZ 86001-1483 | 2007-03-06 |
| Find all providers in FLAGSTAFF | ||||
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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.