DR. KEITH ROBERT GIBSON


Address: 5000 Hennessey Blvd, Baton Rouge, LA 70808
Phone: 2257658819

DR. KEITH ROBERT GIBSON (NPI# 1841270592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1841270592
Entity Type Individual
Full Name DR. KEITH ROBERT GIBSON
Credential M.D.
Practice Address 5000 Hennessey Blvd
Baton Rouge
LA 70808
Mailing Address 8230 Summa Ave Ste C
Baton Rouge
LA 70809-3465
Practice Telephone 2257658819
Mailing Telephone 2257570552
Mailing Fax Number 2257639997
Enumeration Date 2006-01-19
Last Update Date 2015-01-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
017026 LA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
LA 1365696 05

Other Providers KEITH GIBSON

NPI Name Taxonomy Address Enumeration
1639365695 Keith Edward Gibson Jr. Dentist 3906 Nw 10th St, Oklahoma City, OK 73107-6037 2007-09-23
1316220650 Keith Edward Gibson Pharmacist 1650 Washington Ave, Alton, IL 62002-3931 2011-09-22
1801014204 Keith D Gibson Psychologist 1969 W Hart Rd, Beloit, WI 53511-2230 2007-04-23
1144370834 Keith Edward Gibson Dentist 213 S Main St, Corbin, KY 40701-1455 2007-01-12
1326016882 Keith Gibson Family Medicine 16 Woodbine Ln, Danville, PA 17821-8029 2006-03-10
1649275793 Keith F Gibson Psychologist 2100 Asbury Rd, Ste 5, Dubuque, IA 52001-3091 2005-06-16

Office Location

Street Address 5000 HENNESSEY BLVD
City BATON ROUGE
State LA
Zip Code 70808

Providers in the same location

NPI Name Taxonomy Address Enumeration
1760687784 Denise Ann Bouvier Nurse Practitioner 5000 Hennessey Blvd, Baton Rouge, LA 70808 2007-06-19

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1790313161 Leah Michelle Dlugolecki Student in an Organized Health Care Education/Training Program Lsu Psychiatry Residency Program, 5246 Brittany Drive, Baton Rouge, LA 70808 2020-03-31
1003376302 Kristina Pham Student in an Organized Health Care Education/Training Program 5246 Brittany Drive, 3rd Floor, Baton Rouge, LA 70808 2019-03-22
1083174486 John Jay Hogan Student in an Organized Health Care Education/Training Program Lsu Emergency Medicine Residency Program, 5246 Brittany Drive, Baton Rouge, LA 70808 2019-03-21
1033682075 Joseph Bertell Davis Jr. Case Manager/Care Coordinator 2460 College Drive, Baton Rouge, LA 70808 2019-01-02
1508340886 Jennifer Miatech Student in an Organized Health Care Education/Training Program 8585 Picardy Ave., Medical Tower 2, Baton Rouge, LA 70808 2018-09-21
1700389137 Jenee Robins Case Manager/Care Coordinator 2100 College Dr Apt 159, Baton Rouge, LA 70808 2018-03-12
1952812893 Da Vonna Dents Behavioral Analyst 418 Stoney Creek Ave, Baton Rouge, LA 70808 2017-10-18
1962925669 Katharine Elizabeth Blum Counselor 7936 Wrenwood Blvd. Ste A, Baton Rouge, LA 70808 2017-07-25
1801316120 Amie Jackson Social Worker 5420 Corporate Blvd. Ste 308, Baton Rouge, LA 70808 2017-06-27
1235660713 Melissa A Eddy-shelby Student in an Organized Health Care Education/Training Program 5000 Hennessy Blvs, Suite 6004, Baton Rouge, LA 70808 2017-03-25
Find all providers in zip 70808

Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1659575173 John Grezaffi Jr. Radiology 7887 Picardy Ave, Baton Rouge, LA 70809-3534 2007-06-11
1144300666 Chester Chattin Coles Jr. Radiology 5937 Goodwood Ave, Baton Rouge, LA 70806-7308 2006-10-17
1366469884 Cheryl D Randal Knatt Radiology 6821 Fountain Ln, Baton Rouge, LA 70809-1046 2006-07-17
1922041334 Jacques A De La Bretonne Radiology 5422 Dijon Dr, Baton Rouge, LA 70808-4315 2006-06-14
1326027632 Michael Lynn Bruce Radiology 8230 Summa Ave Ste C, Baton Rouge, LA 70809-3421 2006-01-13
1801895578 Imaging Center of Louisiana LLC Radiology 8338 Summa Ave, Suite 100, Baton Rouge, LA 70809-3669 2005-07-15
1891793188 Cecil Noel Bankston Jr. Radiology 4841 Woodlake Dr, Baton Rouge, LA 70817-1833 2005-07-11
1558780940 Maverick Joseph Leblanc Radiology 10310 The Grove Blvd, Baton Rouge, LA 70836-6455 2014-04-14
1700220977 Lisa Katherine Harris Radiology 100 Womans Way, Baton Rouge, LA 70817-5100 2013-04-18
1285976084 Andrew Claiborne Matthews Radiology 8585 Picardy Ave, Baton Rouge, LA 70809-3748 2013-03-20
Find all providers in BATON ROUGE

Competitor

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City BATON ROUGE
Zip Code 70808

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Dataset Information

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.

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