Daniel L Gibson (NPI# 1699748772, PAC ID# 1850287103) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1699748772 |
| PAC ID by PECOS | 1850287103 |
| Professional Enrollment ID | I20040224001214 |
| Full Name | Daniel L Gibson |
| Organization Legal Name | COMMUNITY HEALTH CTR OF CENTRAL MISSOURI |
| Address |
1511 Christy Dr Jefferson City MO 65101-2854 |
| Phone Number | 5736322777 |
| Gender | M |
| Credential | DO |
| Medical School | OKLAHOMA COLLEGE OF OSTEOPATHIC MEDICINE AND SURGERY |
| Graduation Year | 1999 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 2062456015 |
| Number of Group Practice Members | 16 |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260047 | CAPITAL REGION MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1500 Southwest Blvd, Jefferson City, MO 65109-2472 | CAPITAL REGION MEDICAL CENTER | |
| 1511 Christy Dr, Jefferson City, MO 65101-2854 | 5736322777 | COMMUNITY HEALTH CTR OF CENTRAL MISSOURI |
| 3308 W Edgewood Dr A, Capital Region Physicians, Jefferson City, MO 65109-6891 | 5736365285 | CAPITAL REGION MEDICAL CENTER |
| 3308 W Edgewood Dr B, Capital Reg Hlth Branch W, Jefferson City, MO 65109-6891 | 5738937848 | CAPITAL REGION MEDICAL CENTER |
| 420 E High St, Capital Region Physicians, Jefferson City, MO 65101-3215 | 5736350916 | CAPITAL REGION MEDICAL CENTER |
| Organization Legal Name | COMMUNITY HEALTH CTR OF CENTRAL MISSOURI |
| Physicians | 16 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Craig Luetkemeyer | Family Medicine | Community Health Ctr of Central Missouri | 1511 Christy Dr, Jefferson City, MO 65101-2854 |
| Richard E Daugherty | Family Medicine | Community Health Ctr of Central Missouri | 1016 E Main, Linn, MO 65051-9782 |
| Crystal L Cook | Family Medicine | Community Health Ctr of Central Missouri | 1511 Christy Dr, Jefferson City, MO 65101-2854 |
| April L Miller | Nurse Practitioner | Community Health Ctr of Central Missouri | 1511 Christy Dr, Jefferson City, MO 65101-2854 |
| Jamie Brianne Luetkemeyer | Family Medicine | Community Health Ctr of Central Missouri | 1511 Christy Dr, Jefferson City, MO 65101-2854 |
| Monica L Biddle | Nurse Practitioner | Community Health Ctr of Central Missouri | 1511 Christy Dr, Jefferson City, MO 65101-2854 |
| Crystal L Sullivan | Family Medicine | Community Health Ctr of Central Missouri | 1511 Christy Dr, Jefferson City, MO 65101-2854 |
| Megan C King | Family Medicine | Community Health Ctr of Central Missouri | 1511 Christy Dr, Jefferson City, MO 65101-2854 |
| Sheryl Cade | Nurse Practitioner | Community Health Ctr of Central Missouri | 1511 Christy Dr, Jefferson City, MO 65101-2854 |
| Angela Breckenridge | Obstetrics/gynecology | Community Health Ctr of Central Missouri | 1511 Christy Dr, Jefferson City, MO 65101-2854 |
| Street Address |
1511 CHRISTY DR |
| City | JEFFERSON CITY |
| State | MO |
| Zip | 65101-2854 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Craig Luetkemeyer | Family Medicine | Community Health Ctr of Central Missouri | 1511 Christy Dr, Jefferson City, MO 65101-2854 |
| Crystal L Cook | Family Medicine | Community Health Ctr of Central Missouri | 1511 Christy Dr, Jefferson City, MO 65101-2854 |
| April L Miller | Nurse Practitioner | Community Health Ctr of Central Missouri | 1511 Christy Dr, Jefferson City, MO 65101-2854 |
| Jamie Brianne Luetkemeyer | Family Medicine | Community Health Ctr of Central Missouri | 1511 Christy Dr, Jefferson City, MO 65101-2854 |
| Monica L Biddle | Nurse Practitioner | Community Health Ctr of Central Missouri | 1511 Christy Dr, Jefferson City, MO 65101-2854 |
| Crystal L Sullivan | Family Medicine | Community Health Ctr of Central Missouri | 1511 Christy Dr, Jefferson City, MO 65101-2854 |
| Megan C King | Family Medicine | Community Health Ctr of Central Missouri | 1511 Christy Dr, Jefferson City, MO 65101-2854 |
| Sheryl Cade | Nurse Practitioner | Community Health Ctr of Central Missouri | 1511 Christy Dr, Jefferson City, MO 65101-2854 |
| Angela Breckenridge | Obstetrics/gynecology | Community Health Ctr of Central Missouri | 1511 Christy Dr, Jefferson City, MO 65101-2854 |
| Sheila Carnett | Obstetrics/gynecology | Community Health Ctr of Central Missouri | 1511 Christy Dr, Jefferson City, MO 65101-2854 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joyce Wilson | Hand Surgery | Jefferson City Medical Group PC | 1225 W Stadium Blvd, Jefferson City, MO 65101 |
| Michael Snyder | Orthopedic Surgery | Jefferson City Medical Group PC | 1225 W Stadium Blvd, Jefferson City, MO 65101 |
| Jonathan M Craighead | Orthopedic Surgery | Jefferson City Medical Group PC | 1225 W Stadium Blvd, Jefferson City, MO 65101 |
| Mauricio J Pasquale | Physician Assistant | Jefferson City Medical Group PC | 1225 W Stadium Blvd, Jefferson City, MO 65101 |
| Matthew M Ragsdell | Orthopedic Surgery | Jefferson City Medical Group PC | 1225 W Stadium Blvd, Jefferson City, MO 65101 |
| Bradley S Sloan | Family Medicine | Jefferson City Medical Group PC | 1225 W Stadium Blvd, Jefferson City, MO 65101 |
| John J Krautmann | Orthopedic Surgery | Jefferson City Medical Group, PC | 1225 W Stadium Blvd, Jefferson City, MO 65101 |
| Alicia D Barnes | Clinical Social Worker | 718 W Macarty St, Jefferson City, MO 65101-1544 | |
| Jacqueline R Henry | Psychologist, Clinical | 718 W Macarty St, Jefferson City, MO 65101-1544 | |
| Danielle R Schwartz | Speech Language Pathologist | 1908 Whitney Woods Dr, Jefferson City, MO 65101-2386 | |
| Find all physicians in zip 65101 | |||
| City | JEFFERSON CITY |
| Zip Code | 65101 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | JEFFERSON CITY + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Daniel 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.