MIRAL K GIBSON (NPI# 1902054695) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902054695 |
| Entity Type | Individual |
| Full Name | MIRAL K GIBSON |
| Credential | NP-C |
| Practice Address |
402 Medical Park Dr Weston WV 26452-1678 |
| Practice Telephone | 3042693929 |
| Practice Fax Number | 3042693911 |
| Mailing Telephone | 3042693929 |
| Mailing Fax Number | 3042693911 |
| Enumeration Date | 2008-09-05 |
| Last Update Date | 2014-07-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
34016 | WV | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 3810013138 | 05 |
| Street Address |
402 MEDICAL PARK DR |
| City | WESTON |
| State | WV |
| Zip Code | 26452-1678 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497725352 | Robert Snuffer | Emergency Medicine | 402 Medical Park Dr, Weston, WV 26452-1678 | 2006-01-24 |
| 1093042772 | Robert Lynn Harsh | Physician Assistant | 402 Medical Park Dr, Suite 100, Weston, WV 26452-1678 | 2009-11-17 |
| 1063679058 | Robert Snuffer, Do | Family Medicine | 402 Medical Park Dr, Suite 100, Weston, WV 26452-1678 | 2008-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316547136 | Sara Knotts | Technician | 102 Upper St, Weston, WV 26452 | 2020-10-30 |
| 1003414301 | Sarah Bowman | Technician | 55 4b Mobile Estates, Weston, WV 26452 | 2020-10-09 |
| 1962019752 | Victoria Louise Riggs | Pharmacist | 250 Court Street, Weston, WV 26452 | 2020-09-26 |
| 1710472188 | Brandi Nicole Miller | Occupational Therapist | 150 John St Ste C, Weston, WV 26452 | 2018-06-27 |
| 1184022428 | Community Care of West Virginia, Inc. | Pharmacy | 107 Staunton Dr, Weston, WV 26452 | 2014-12-19 |
| 1073944658 | Community Care of West Virginia, Inc. | Clinic/Center | 149 Staunton Drive, Weston, WV 26452 | 2013-12-06 |
| 1033452552 | Julie Ann Haddix | Nurse Practitioner | 29 Hospital Plz Ste E, Weston, WV 26452 | 2013-04-03 |
| 1972605608 | Phillip Mansfield Spaur | Chiropractor | 346 East 3rd Street, Weston, WV 26452 | 2006-09-02 |
| 1003918202 | Bio-medical Applications of West Virginia, Inc. | Clinic/Center | Market Place Plaza, Suite1c, Weston, WV 26452 | 2006-09-01 |
| 1093825432 | Khalid Mahmoud | Internal Medicine | 66 Hospital Plaza Suite 104, Weston, WV 26452 | 2006-08-30 |
| Find all providers in zip 26452 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386245652 | Manuel Salvador Portillo | Nurse Practitioner | 4383 Foxtail Ln, Weston, FL 33331-3842 | 2020-11-04 |
| 1336756709 | Daniella Lupis | Nurse Practitioner | 792 Verona Lake Dr, Weston, FL 33326-3537 | 2020-09-29 |
| 1487288288 | Marcella Patino | Nurse Practitioner | 2300 North Commerce Parkway, Suite 313, Weston, FL 33326 | 2020-03-02 |
| 1083245237 | Andrea Dotti | Nurse Practitioner | 1278 Canary Island Dr, Weston, FL 33327-2346 | 2020-01-27 |
| 1306489661 | Reynaldo Leyva Infante | Nurse Practitioner | 437 Lakeview Dr Apt 102, Weston, FL 33326-2449 | 2019-10-18 |
| 1033771167 | Anne Elizabeth Crockett | Nurse Practitioner | 1850 Lakeshore Dr, Weston, FL 33326-2349 | 2019-06-28 |
| 1457828030 | Tamara Ines Estevez | Nurse Practitioner | 201 Racquet Club Rd # 5523, Weston, FL 33326-3100 | 2018-10-31 |
| 1619471547 | Farida Makubelly Law | Nurse Practitioner | 3100 Cleveland Clinic, Weston, FL 33331 | 2018-03-23 |
| 1427556604 | Florence Dauphin Philippe | Nurse Practitioner | 2649 Edgewater Dr, Weston, FL 33332-3400 | 2018-01-23 |
| 1124573217 | Ramon Perez | Nurse Practitioner | 1947 Harbor View Cir, Weston, FL 33327-1342 | 2016-08-18 |
| Find all providers in WESTON | ||||
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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.