SHIRLEY K. GIBSON (NPI# 1770509713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770509713 |
| Entity Type | Individual |
| Full Name | SHIRLEY K. GIBSON |
| Other Name | SHIRLEY K CATRON |
| Credential | MD |
| Practice Address |
606 Burkesville Rd Albany KY 42602-1612 |
| Mailing Address |
Po Box 1080 Burkesville KY 42717-1080 |
| Practice Telephone | 6063870675 |
| Practice Fax Number | 6063873149 |
| Mailing Telephone | 2708641472 |
| Mailing Fax Number | 2708641693 |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2019-12-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 38599 | KY | Allopathic & Osteopathic Physicians |
| Y | 207R00000X | Internal Medicine | 38599 | KY | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 38599 | KY | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | 38599 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 64103237 | 05 |
| Street Address |
606 BURKESVILLE RD |
| City | ALBANY |
| State | KY |
| Zip Code | 42602-1612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609845882 | Tammy L Brown | Family Medicine | 606 Burkesville Rd, Albany, KY 42602-1612 | 2006-03-17 |
| 1326492919 | Kimberly S Evans | Nurse Practitioner | 606 Burkesville Rd, Albany, KY 42602-1612 | 2016-04-20 |
| 1427218023 | Cumberland Family Medical Center, Inc. | Clinic/Center | 606 Burkesville Rd, Westview Medical Plaza, Albany, KY 42602-1612 | 2008-06-17 |
| 1285833475 | Tammy L. Brown, M.d., P.s.c. | Family Medicine | 606 Burkesville Rd, Albany, KY 42602-1612 | 2007-07-17 |
| 1730245655 | Carol S. Denney | Nurse Practitioner | 606 Burkesville Rd, Albany, KY 42602-1612 | 2006-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649707571 | Sarah Stockton Dba Stockton Speech Therapy | Speech-Language Pathologist | 330 N. Clearfork Rd., Albany, KY 42602 | 2017-05-23 |
| 1205289709 | Sarah Stockton | Speech-Language Pathologist | 18 Clearfork Rd, Albany, KY 42602 | 2016-07-20 |
| 1093164436 | Pagie Denney-jones | Social Worker | 104 Washington St., Albany, KY 42602 | 2016-06-07 |
| 1255717278 | Shearer Drug Inc | Durable Medical Equipment & Medical Supplies | 260 Burkesville Rd, Albany, KY 42602 | 2015-07-31 |
| 1790030625 | Jennifer Ann Dyer | Pharmacist | 800 North Cross Street, Albany, KY 42602 | 2012-07-17 |
| 1235364076 | Lake Cumberland District Health Dept | Public Health or Welfare | 650 High School Dr., Albany, KY 42602 | 2009-05-22 |
| 1316110034 | Lydia Sue Irwin | Social Worker | 218 Irwin Daniels Road, Albany, KY 42602 | 2008-04-03 |
| 1205975414 | Horizon Adult Health Care LLC | Case Management | 97 Foothills Avenue, Albany, KY 42602 | 2007-02-05 |
| 1104973635 | Clinton County Board of Education | Local Education Agency (LEA) | Clinton County Board of Education, North Highway 127, Albany, KY 42602 | 2007-01-05 |
| 1023114451 | Susan Elayne Cash | Dentist | 111 Cross St, Albany, KY 42602 | 2006-09-15 |
| Find all providers in zip 42602 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770196602 | Julia A Mason | Internal Medicine | 78 Crescent Dr, Albany, NY 12208-1230 | 2020-08-29 |
| 1659931848 | Hala Elfaki | Internal Medicine | 10 Callaway Circle, Loudonville, Albany, NY 12211-1221 | 2019-06-19 |
| 1447720271 | Paul E Lemanski Md Pllc | Internal Medicine | 2 Executive Park Dr Ste 1, Albany, NY 12203-3700 | 2018-12-05 |
| 1528595147 | Asha Pandu | Internal Medicine | 178 Washington Avenue Ext # Mc-58, Albany, NY 12203-5304 | 2017-05-13 |
| 1720531080 | Hania Shahid | Internal Medicine | 47 New Scotland Avenue, Dept of Internal Medicine, Albany, NY 12208-3412 | 2016-08-03 |
| 1376995431 | Asad Ullah | Internal Medicine | 47 New Scotland Ave # Mc-17, Albany, NY 12208-3412 | 2016-07-12 |
| 1831552397 | Mukund Madhaw Das | Internal Medicine | St. Peter's Hospital of The City of Albany, Hospitalist Department 315 So Manning Blvd, Albany, NY 12208 | 2016-04-01 |
| 1295128619 | Erik Rueckert | Internal Medicine | 400 Hickory St Nw # 300, Albany, OR 97321-1700 | 2015-03-10 |
| 1003207978 | Emmanuelle Cordero Torres | Internal Medicine | 47 New Scotland Ave Dept of Nephrology, Albany Medical Center, Albany, NY 12208 | 2015-02-12 |
| 1376944348 | Ravi Vuthoori | Internal Medicine | 43 New Scotland Ave # Mc-50, Albany, NY 12208-3412 | 2014-09-10 |
| Find all providers in ALBANY | ||||
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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.