ALEAH PENDERGRAFF GIBSON (NPI# 1780792903) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780792903 |
| Entity Type | Individual |
| Full Name | ALEAH PENDERGRAFF GIBSON |
| Other Name | ALEAH P MCKINNEY |
| Credential | M.D. |
| Practice Address |
204 Bridgeway St Aurora IN 47001 |
| Mailing Address |
Po Box 635283 Cincinnati OH 45263-5283 |
| Practice Telephone | 8129263133 |
| Practice Fax Number | 8129261668 |
| Mailing Telephone | 8552274230 |
| Mailing Fax Number | 8129261668 |
| Enumeration Date | 2006-08-28 |
| Last Update Date | 2018-09-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 01062453A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | RR MEDICARE | P00370136 | 01 |
| IN | 200834290 | 05 | |
| KY | 64126824 | 05 |
| Street Address |
204 BRIDGEWAY ST |
| City | AURORA |
| State | IN |
| Zip Code | 47001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952839961 | Kimberly Myers | Nurse Practitioner | 204 Bridgeway St, Aurora, IN 47001 | 2017-06-03 |
| 1346515491 | Summit Medical Group | Orthopaedic Surgery | 204 Bridgeway St, Aurora, IN 47001-1334 | 2012-03-21 |
| 1972890481 | Mary Anna Jansen | Family Medicine | 204 Bridgeway St, Aurora, IN 47001 | 2011-07-05 |
| 1386762714 | Laura S. Allen | Family Medicine | 204 Bridgeway St, Aurora, IN 47001-1334 | 2007-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376563965 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 512 Green Blvd, Aurora, IN 47001 | 2006-07-19 |
| 1609829480 | Advanced Vision Care Center, LLC | Optometrist | 100 Sycamore Estates Dr, Aurora, IN 47001 | 2006-05-19 |
| 1518978899 | Aurora Emergency Rescue, Inc. | Ambulance | 320 3rd St, Aurora, IN 47001 | 2006-08-11 |
| 1871969311 | Roberta Hall | Taxi | 136 Franklin St, Aurora, IN 47001-1018 | 2015-08-19 |
| 1598184111 | Debra Ann Dicarlo | Speech-Language Pathologist | 102 Conwell St, Aurora, IN 47001-1110 | 2014-04-10 |
| 1609994326 | Voca of Indiana LLC | Intermediate Care Facility, Mentally Retarded | 511 W Conwell St, Aurora, IN 47001-1137 | 2007-03-27 |
| 1982723300 | Voca In, LLC | Intermediate Care Facility, Mentally Retarded | 207 Hanover Ave, Aurora, IN 47001-1151 | 2007-03-28 |
| 1720625155 | James Charles Soukup Jr. | Massage Therapist | 310 4th St, Aurora, IN 47001-1206 | 2019-12-04 |
| 1295833077 | Douglas Ronald Ruter | Dentist | 402 4th St, Aurora, IN 47001-1208 | 2006-09-20 |
| 1740387000 | Douglas R Ruter Dds Psc | Dentist | 402 4th St, Aurora, IN 47001-1208 | 2006-09-20 |
| Find all providers in zip 47001 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659988616 | 5280 Medical Concierge Inc | Family Medicine | 2821 S Parker Rd Ste 574, Aurora, CO 80014-2735 | 2020-09-24 |
| 1144837105 | Dany Vexler Fnp-c LLC | Family Medicine | 2821 S Parker Rd Ste 575, Aurora, CO 80014-2713 | 2020-09-24 |
| 1477167567 | 247 Doctor | Family Medicine | 22884 E Layton Ave, Aurora, CO 80015-6473 | 2020-09-04 |
| 1497384564 | Colleen Marie Markham | Family Medicine | 1550 S Potomac St Ste 200, Aurora, CO 80012-5432 | 2020-04-02 |
| 1477039931 | Augustine Rios | Family Medicine | 1532 Galena St Ste 300, Aurora, CO 80010-2236 | 2018-07-17 |
| 1114411410 | Unnati Upadhyay | Family Medicine | 2020 Ogden Ave Ste 3302020, Aurora, IL 60504-5894 | 2018-06-20 |
| 1346763448 | Blue Nile Clinic | Family Medicine | 11275 E Mississippi Ave Ste 2s3, Aurora, CO 80012-2825 | 2017-07-20 |
| 1346775343 | 5th Ave Family Practice & Cosmetics Pllc | Family Medicine | 2044 Clinton St, Unit B, Aurora, CO 80010-1003 | 2017-04-27 |
| 1669824694 | Vivirmed LLC | Family Medicine | 630 N Lake St, Aurora, IL 60506-3106 | 2016-07-01 |
| 1386094332 | Sarah Weinstein | Family Medicine | Academic Office One, #3611, 12631 E 17th Ave, Ms 496, Aurora, CO 80045 | 2016-06-20 |
| Find all providers in AURORA | ||||
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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.