DR. DANIEL PETER GIBSON (NPI# 1952477929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952477929 |
| Entity Type | Individual |
| Full Name | DR. DANIEL PETER GIBSON |
| Credential | M.D. |
| Practice Address |
3237 S 16th St Milwaukee WI 53215-4526 |
| Practice Telephone | 4145275000 |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2017-06-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085N0700X |
Radiology Specialization: Neuroradiology |
65310 | WI | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
65310 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | Q006012 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558876110 | Daniel Gibson | Specialist/Technologist | 22539 Valley Canyon Ln, Porter, TX 77365-7414 | 2017-12-05 |
| 1194075994 | Daniel Glen Gibson | Psychologist | 850 E Franklin Rd Ste 404, Meridian, ID 83642 | 2012-09-19 |
| 1720352909 | Daniel Kenneth Gibson | Military Health Care Provider | 1875 Intercove Rd, Bldg 3813, Virginia Beach, VA 23459-8932 | 2012-03-06 |
| 1629241484 | Daniel Gibson | Counselor | 105 Post Office Dr., F, Aptos, CA 95003 | 2008-04-11 |
| 1609946219 | Daniel P. Gibson | Dentist | 27w217 Geneva Rd, Winfield, IL 60190-2031 | 2006-11-09 |
| 1508275470 | Daniel Clin Gibson | Case Manager/Care Coordinator | 575 E. 100 S., Price, UT 84501 | 2014-08-05 |
| 1861756728 | Daniel William Gibson | Family Medicine | 1300 Franklin Ave, Pob Suite #100, Normal, IL 61761-3592 | 2012-06-26 |
| 1265595516 | Daniel Gibson | Psychologist | 98120 Queens Blvd, Apt 1c, Rego Park, NY 11374 | 2006-12-18 |
| 1710999602 | Daniel E Gibson | Internal Medicine | 215 Pesetas Ln, Santa Barbara, CA 93110-1416 | 2006-08-12 |
| 1699748772 | Daniel L Gibson | Family Medicine | 3308 W Edgewood Dr, Suite B, Jefferson City, MO 65109-6891 | 2006-02-09 |
| Street Address |
3237 S 16TH ST |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53215-4526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336135375 | Don Suk Lee | Internal Medicine | 3237 S 16th St, Milwaukee, WI 53215-4526 | 2005-09-26 |
| 1235730672 | Laura Marie Steele | Dietitian, Registered | 3237 S 16th St, Milwaukee, WI 53215-4526 | 2020-11-03 |
| 1912527318 | Benjamin Modrell | Pharmacist | 3237 S 16th St, Milwaukee, WI 53215-4526 | 2020-04-26 |
| 1316571896 | Jonathan D Krueger | Pharmacist | 3237 S 16th St, Milwaukee, WI 53215-4526 | 2020-02-24 |
| 1316508617 | Anna Kathryn Baker | Physician Assistant | 3237 S 16th St, Milwaukee, WI 53215-4526 | 2019-06-26 |
| 1740766971 | Diana Jean Maier | Health Educator | 3237 S 16th St, Milwaukee, WI 53215-4526 | 2018-07-11 |
| 1669973632 | Brian T Prost | Nurse Anesthetist, Certified Registered | 3237 S 16th St, Milwaukee, WI 53215-4526 | 2018-02-26 |
| 1053827410 | Alisa Orel | Dietitian, Registered | 3237 S 16th St, Milwaukee, WI 53215-4526 | 2017-12-21 |
| 1922523836 | Freddie J. Mertzig | Nurse Practitioner | 3237 S 16th St, Milwaukee, WI 53215-4526 | 2017-08-11 |
| 1467816561 | Girma Tesfaye Beyene | Internal Medicine | 3237 S 16th St, Milwaukee, WI 53215-4526 | 2016-04-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841829918 | Joshua Michael Brooks | Student in an Organized Health Care Education/Training Program | Aurora St. Lukes Medical Center 2901 W Oklahoma Ave, Milwaukee, WI 53215 | 2020-04-02 |
| 1053967091 | Kristina Strupp | Clinical Nurse Specialist | 2900 W. Oaklahoma Avenue, Milwaukee, WI 53215 | 2019-08-15 |
| 1427510296 | Madelyn Pickle | Student in an Organized Health Care Education/Training Program | 2801 W. Kinnickinnic Rd Ste 250, Milwaukee, WI 53215 | 2019-04-02 |
| 1932601838 | Elizabeth D Morawski | Nurse Practitioner | 2801 Kinnickinnic Parkway, Suite 630, Milwaukee, WI 53215 | 2018-03-06 |
| 1457872673 | Canzata Kimberly Dent | Counselor | 2727 W. Cleveland Suite 204, Milwaukee, WI 53215 | 2017-06-28 |
| 1538689955 | Christian Pena | Durable Medical Equipment & Medical Supplies | 2800 W Forest Home Ave, Suite 100, Milwaukee, WI 53215 | 2017-06-27 |
| 1386178804 | Dane A Olsen | Family Medicine | 801 W Kinnickinnic River Pkwy., Suite 250, Milwaukee, WI 53215 | 2017-04-12 |
| 1811443492 | Thomas Diamond | Physical Therapist | 2901 Kinnickinnic Parkway, Milwaukee, WI 53215 | 2016-09-01 |
| 1487055133 | Sam Khalili | Otolaryngology | 2801 W Kinnickinnic River Pkwy # 680, Milwaukee, WI 53215 | 2014-09-12 |
| 1992105621 | Nicole R Hall | Nurse Practitioner | 2901 S Kinnickinnic Ave, Milwaukee, WI 53215 | 2014-08-29 |
| Find all providers in zip 53215 | ||||
| Taxonomy Code | 2085N0700X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Neuroradiology |
| A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children. |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801117585 | Adam N Wallace | Radiology | 2301 N Lake Dr Ste 1104, Milwaukee, WI 53211-4508 | 2010-06-17 |
| 1982781373 | Darren P O'neill | Radiology | 9200 W Wisconsin Ave, Department of Radiology, Milwaukee, WI 53226-3522 | 2006-11-01 |
| 1447333232 | Sonia Boparai Gill | Radiology | 9200 W Wisconsin Ave, Department of Radiology, Milwaukee, WI 53226-3522 | 2006-10-23 |
| 1760419337 | Jonathan E Jennings | Radiology | 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 | 2006-06-27 |
| 1487607263 | Robert J Rilling | Radiology | 9200 W Wisconsin Ave, Department of Radiology, Milwaukee, WI 53226-3522 | 2006-05-19 |
| 1932151636 | Scott D Rand | Radiology | 9200 W Wisconsin Ave, Dept of Radiology, Milwaukee, WI 53226-3522 | 2006-05-17 |
| 1821041567 | Michelle M Michel | Radiology | 9200 W Wisconsin Ave, Department of Radiology, Milwaukee, WI 53226-3522 | 2006-05-17 |
| 1114970852 | Leighton Mark | Radiology | 9200 W Wisconsin Ave, Department of Radiology, Milwaukee, WI 53226-3522 | 2006-05-17 |
| 1306898663 | John L Ulmer | Radiology | 9200 W Wisconsin Ave, Department of Radiology, Milwaukee, WI 53226-3522 | 2006-05-16 |
| 1255382099 | Mehmet Kocak | Radiology | 9200 W Wisconsin Ave, Hospital Based @ Froedtert Hosp., Milwaukee, WI 53226-3522 | 2006-05-15 |
| Find all providers in MILWAUKEE | ||||
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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.