DR. GABRIEL O MOONEY (NPI# 1992985832) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992985832 |
| Entity Type | Individual |
| Full Name | DR. GABRIEL O MOONEY |
| Credential | M.D. |
| Practice Address |
1120 N Melvin St Gibson City IL 60936-1477 |
| Practice Telephone | 2177842249 |
| Practice Fax Number | 2177842610 |
| Mailing Telephone | 2177842249 |
| Mailing Fax Number | 2177842610 |
| Enumeration Date | 2007-11-08 |
| Last Update Date | 2007-11-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2082S0099X |
Plastic Surgery Specialization: Plastic Surgery Within the Head and Neck |
IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174840672 | Gabriel Dan Mooney | Dietitian, Registered | 600 Main Ave S, Baudette, MN 56623-2855 | 2010-04-23 |
| Street Address |
1120 N MELVIN ST |
| City | GIBSON CITY |
| State | IL |
| Zip Code | 60936-1477 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093705501 | Serge Peter Marinkovic | Surgery | 1120 N Melvin St, Gibson City, IL 60936-1477 | 2005-10-26 |
| 1346883808 | Sheree Stachura | Nurse Practitioner | 1120 N Melvin St, Gibson City, IL 60936-1477 | 2019-10-28 |
| 1063054203 | Natalie Weaver | Nurse Practitioner | 1120 N Melvin St, Gibson City, IL 60936-1477 | 2019-10-09 |
| 1649757386 | Omar Ahmad Ali | Dentist | 1120 N Melvin St, Gibson City, IL 60936-1477 | 2018-07-25 |
| 1306330477 | Gibson Community Hospital Association | Dentist | 1120 N Melvin St, Gibson City, IL 60936-1477 | 2018-06-21 |
| 1235667593 | Gibson Community Hospital Association | Family Medicine | 1120 N Melvin St, Gibson City, IL 60936-1477 | 2017-05-31 |
| 1073065140 | Jodie Vaughn | Nurse Practitioner | 1120 N Melvin St, Gibson City, IL 60936-1477 | 2016-10-25 |
| 1982029856 | Jennifer Casey | Clinical Nurse Specialist | 1120 N Melvin St, Gibson City, IL 60936-1477 | 2014-02-28 |
| 1457616229 | Gibson Community Hospital Association | Anesthesiology | 1120 N Melvin St, Gibson City, IL 60936-1477 | 2012-07-09 |
| 1235438417 | Christine Grundeman | Psychiatry & Neurology | 1120 N Melvin St, Gibson City, IL 60936-1477 | 2011-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073738738 | Carrie Ann Lithgow | Physical Therapist | 109 N. Sangamon Ave, Gibson City, IL 60936 | 2007-04-16 |
| 1144359001 | Kerrie Ann Patrick | Registered Nurse | 222 N Sangamon, Gibson City, IL 60936 | 2007-03-05 |
| 1578612800 | Donna J Boundy | Dentist | 627 E 8th St, Gibson City, IL 60936 | 2007-01-09 |
| 1093878241 | Drew Curtis Duquette | Chiropractor | 523 and One Half South Sangamon Ave, Gibson City, IL 60936 | 2006-12-19 |
| 1386727642 | Amnuay Sethakorn | Family Medicine | 4 Doctors Park, Gibson City, IL 60936 | 2006-10-23 |
| 1689687295 | Alexander V Grandt | Nurse Practitioner | 1120 N Melvin, Gibson Area Hospital & Health Services, Gibson, IL 60936 | 2006-08-14 |
| 1811125784 | Gibson Community Hospital Association | Surgery | 1 Doctors Park, Gibson City, IL 60936 | 2009-06-30 |
| 1295991701 | Trilok Shah | Psychiatry & Neurology | 4 Doctors Park, Gibson City, IL 60936 | 2008-08-04 |
| 1013050046 | Rebecca Anne Wildermuth | Specialist/Technologist | 10 Doctors Park, Gibson City, IL 60936 | 2007-02-15 |
| 1245312602 | Ginny E Pulley | Licensed Practical Nurse | 222 N Sangamon Ave, Gibson City, IL 60936 | 2006-10-19 |
| Find all providers in zip 60936 | ||||
| Taxonomy Code | 2082S0099X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| Specialization | Plastic Surgery Within the Head and Neck |
| A plastic surgeon with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgery is practiced, there are many additional procedures which interface with them. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. A subspecialty certificate was approved by the ABMS in 2000. ACGME Accredited Residency Program Requirements: None. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457512618 | David Thammadi Shashikant | Plastic Surgery | 1112 Jonathan Drive, Inverness, IL 60010 | 2008-06-20 |
| City | GIBSON CITY |
| Zip Code | 60936 |
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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.