Justin R Gibb (NPI# 1023263894, PAC ID# 0749337194) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1023263894 |
| PAC ID by PECOS | 0749337194 |
| Professional Enrollment ID | I20090422000170 |
| Full Name | Justin R Gibb |
| Organization Legal Name | TREASURE VALLEY ANESTHESIA PC |
| Address |
351 Sw 9th St Ontario OR 97914-2639 |
| Phone Number | 8772254762 |
| Gender | M |
| Graduation Year | 2008 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 2365414497 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 380052 | SAINT ALPHONSUS MEDICAL CENTER - ONTARIO, INC |
| 130007 | SAINT ALPHONSUS REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1828 S Millenium Way, Suite 100, Meridian, ID 83642-5036 | 2083810262 | TREASURE VALLEY ANESTHESIA PC |
| 351 Sw 9th St, Ontario, OR 97914-2639 | 8772254762 | TREASURE VALLEY ANESTHESIA PC |
| Organization Legal Name | TREASURE VALLEY ANESTHESIA PC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Aaron R Gopp | Certified Registered Nurse Anesthetist (crna) | Treasure Valley Anesthesia PC | 1828 S Millenium Way, Suite 100, Meridian, ID 83642-5036 |
| Russell J Watson | Certified Registered Nurse Anesthetist (crna) | Treasure Valley Anesthesia PC | 351 Sw 9th St, Ontario, OR 97914-2639 |
| Spencer D Stucki | Certified Registered Nurse Anesthetist (crna) | Treasure Valley Anesthesia PC | 1828 S Millenium Way, Suite 100, Meridian, ID 83642-5036 |
| Bradley Scott Dalling | Certified Registered Nurse Anesthetist (crna) | Treasure Valley Anesthesia PC | 251 Sw 19th St, Ontario, OR 97914-1972 |
| Frederick R Starr | Certified Registered Nurse Anesthetist | Treasure Valley Anesthesia PC | 1828 S Millenium Way, Suite 100, Meridian, ID 83642-5036 |
| Michael E Ohara | Certified Registered Nurse Anesthetist | Treasure Valley Anesthesia PC | 351 Sw 9th St, Ontario, OR 97914-2639 |
| Street Address |
351 SW 9TH ST |
| City | ONTARIO |
| State | OR |
| Zip | 97914-2639 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard T. Davis | Orthopedic Surgery | Saint Alphonsus Medical Center Ontario Inc. | 351 Sw 9th St, Ontario, OR 97914-2639 |
| John Foote | Orthopedic Surgery | Saint Alphonsus Medical Center Ontario Inc. | 351 Sw 9th St, Ontario, OR 97914-2639 |
| Christopher Counsil | Nurse Practitioner | Apogee Medical Group PC | 351 Sw 9th St, Ontario, OR 97914-2639 |
| Russell J Watson | Certified Registered Nurse Anesthetist (crna) | Treasure Valley Anesthesia PC | 351 Sw 9th St, Ontario, OR 97914-2639 |
| Pamela P Bruce | General Surgery | Saint Alphonsus Medical Center Ontario Inc. | 351 Sw 9th St, Ontario, OR 97914-2639 |
| Steven C Reich | Otolaryngology | Saint Alphonsus Medical Center Ontario Inc. | 351 Sw 9th St, Ontario, OR 97914-2639 |
| Andrew P Black | Podiatry | Saint Alphonsus Medical Center Ontario Inc. | 351 Sw 9th St, Ontario, OR 97914-2639 |
| Eric C Rysenga | Pathology | 351 Sw 9th St, Ontario, OR 97914-2639 | |
| Daniel Allan Bridger | Emergency Medicine | Cep America LLC | 351 Sw 9th St, Ontario, OR 97914-2639 |
| John Martin Gibson | Emergency Medicine | Cep America LLC | 351 Sw 9th St, Ontario, OR 97914-2639 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David Oran Hardy | Physical Therapy | Treasure Valley Physical Therapy Inc | 2671 Sw 4th Ave, Ontario, OR 97914-1833 |
| Steven Blaine Anderson | Physical Therapy | Treasure Valley Physical Therapy Inc | 2671 Sw 4th Ave, Ontario, OR 97914-1833 |
| Daniel Walter Chudleigh | Physical Therapy | Treasure Valley Physical Therapy Inc | 2671 Sw 4th Ave, Ontario, OR 97914-1833 |
| Marguerite Overton | Certified Registered Nurse Anesthetist (crna) | Overton/stiff Professional Anesthesia Service Ltd | 251 Sw 19th St, Ontario, OR 97914-1972 |
| Jeffrey C Pitts | Ophthalmology | 269 Sw 19th St, Ontario, OR 97914-1972 | |
| Bradley Scott Dalling | Certified Registered Nurse Anesthetist (crna) | Treasure Valley Anesthesia PC | 251 Sw 19th St, Ontario, OR 97914-1972 |
| Sharon E Morrison-doke | Qualified Speech Language Pathologist | 964 W Idaho Ave, Ontario, OR 97914-2111 | |
| Paul C Gering Jr. | Family Medicine | 1077 Sw 3rd Ave, Ontario, OR 97914-2125 | |
| Debra J Alexander | Nurse Practitioner | 1008 Sw 4th Ave, Ontario, OR 97914-2128 | |
| Roger W Allen | Chiropractic | 1193 Sw 4th Ave, Ontario, OR 97914-2129 | |
| Find all physicians in zip 97914 | |||
| City | ONTARIO |
| Zip Code | 97914 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | ONTARIO + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.