Jeffrey L Gibson (NPI# 1306807011, PAC ID# 1052475928) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1306807011 |
| PAC ID by PECOS | 1052475928 |
| Professional Enrollment ID | I20090323000048 |
| Full Name | Jeffrey L Gibson |
| Organization Legal Name | JEFFREY L GIBSON DO PC |
| Address |
307 A S Locust St Nowata OK 74048-3622 |
| Phone Number | 9182732761 |
| Gender | M |
| Medical School | OKLAHOMA COLLEGE OF OSTEOPATHIC MEDICINE AND SURGERY |
| Graduation Year | 1994 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 1254498017 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 371305 | JANE PHILLIPS NOWATA HOSPITAL, INC |
| 370018 | JANE PHILLIPS MEMORIAL MEDICAL CENTER, INC |
| Address | Phone | Organization |
|---|---|---|
| 307 A S Locust St, Nowata, OK 74048-3622 | 9182732761 | JEFFREY L GIBSON DO PC |
| Organization Legal Name | JEFFREY L GIBSON DO PC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Debra J Keith | Physician Assistant | Jeffrey L Gibson Do PC | 307 A S Locust St, Nowata, OK 74048-3622 |
| Alfred W Gartzke | Physician Assistant | Jeffrey L Gibson Do PC | 307 A S Locust St, Nowata, OK 74048-3622 |
| Street Address |
307 A S LOCUST ST |
| City | NOWATA |
| State | OK |
| Zip | 74048-3622 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Debra J Keith | Physician Assistant | Jeffrey L Gibson Do PC | 307 A S Locust St, Nowata, OK 74048-3622 |
| Alfred W Gartzke | Physician Assistant | Jeffrey L Gibson Do PC | 307 A S Locust St, Nowata, OK 74048-3622 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David S Caughell | Family Medicine | 712 E Osage, Nowata, OK 74048-3638 | |
| Austin Thomas Mcardle | Podiatry | Cherokee Nation | 1020 Lenape Dr, Nowata, OK 74048-4403 |
| Randi J Elrod | Nurse Practitioner | Cherokee Nation | 1020 Lenape Dr, Nowata, OK 74048-4403 |
| John Lindsay | Optometry | Cherokee Nation | 1020 Lenape Dr, Nowata, OK 74048-4403 |
| Melissa A Gastorf | Family Medicine | Cherokee Nation | 1020 Lenape Dr, Nowata, OK 74048-4403 |
| Tasha S Lunsford | Nurse Practitioner | Cherokee Nation | 1020 Lenape Dr, Nowata, OK 74048-4403 |
| Nicole C Stout | Optometry | Cherokee Nation | 1020 Lenape Dr, Nowata, OK 74048-4403 |
| Crystal M White | Nurse Practitioner | Cherokee Nation | 1020 Lenape Dr, Nowata, OK 74048-4403 |
| Jackie J Odell-miller | Nurse Practitioner | Cherokee Nation | 1020 Lenape Dr, Nowata, OK 74048-4403 |
| Timothy P Green | Family Medicine | Cherokee Nation | 1020 Lenape Dr, Nowata, OK 74048-4403 |
| Find all physicians in zip 74048 | |||
| City | NOWATA |
| Zip Code | 74048 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | NOWATA + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Jeffrey L Gibson.
| 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.