Harold Gibson (NPI# 1265469746, PAC ID# 2365425444) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1265469746 |
| PAC ID by PECOS | 2365425444 |
| Professional Enrollment ID | I20040610000086 |
| Full Name | Harold Gibson |
| Organization Legal Name | SOUTH HURON URGENT CARE CENTER PLC |
| Address |
1649 S Huron St Ypsilanti MI 48197-9701 |
| Phone Number | 7344800990 |
| Gender | M |
| Credential | PA |
| Graduation Year | 1980 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 6901086859 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230156 | ST JOSEPH MERCY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1649 S Huron St, Ypsilanti, MI 48197-9701 | 7344800990 | SOUTH HURON URGENT CARE CENTER PLC |
| Organization Legal Name | SOUTH HURON URGENT CARE CENTER PLC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cinderella Ann Miller Wilkins | Physician Assistant | South Huron Urgent Care Center Plc | 1649 S Huron St, Ypsilanti, MI 48197-9701 |
| Yufang Yang | Physician Assistant | South Huron Urgent Care Center Plc | 1649 S Huron St, Ypsilanti, MI 48197-9701 |
| James Alister Knauer | Physician Assistant | South Huron Urgent Care Center Plc | 1649 S Huron St, Ypsilanti, MI 48197-9701 |
| Glenn Murry | Physician Assistant | South Huron Urgent Care Center Plc | 1649 S Huron St, Ypsilanti, MI 48197-9701 |
| Street Address |
1649 S HURON ST |
| City | YPSILANTI |
| State | MI |
| Zip | 48197-9701 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cinderella Ann Miller Wilkins | Physician Assistant | South Huron Urgent Care Center Plc | 1649 S Huron St, Ypsilanti, MI 48197-9701 |
| Yufang Yang | Physician Assistant | South Huron Urgent Care Center Plc | 1649 S Huron St, Ypsilanti, MI 48197-9701 |
| James Alister Knauer | Physician Assistant | South Huron Urgent Care Center Plc | 1649 S Huron St, Ypsilanti, MI 48197-9701 |
| Glenn Murry | Physician Assistant | South Huron Urgent Care Center Plc | 1649 S Huron St, Ypsilanti, MI 48197-9701 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charis M Hill | Family Medicine | Iha Health Services Corporation | 4940 W Clark Rd, 100 Iha Fam Med Arbor Park, Ypsilanti, MI 48197-0860 |
| Roger H Chen | Family Medicine | Iha Health Services Corporation | 4940 W Clark Rd, Ypsilanit, MI 48197-0860 |
| Sarah Scott | Physician Assistant | Iha Health Services Corporation | 4940 W Clark Rd, Ypsilanit, MI 48197-0860 |
| Matthew Kittle | Family Medicine | Iha Health Services Corporation | 4940 W Clark Rd, 100 Iha Fam Med Arbor Park, Ypsilanti, MI 48197-0860 |
| Wendy M Moller | Family Medicine | Iha Health Services Corporation | 4940 W Clark Rd, 100 Iha Fam Med Arbor Park, Ypsilanti, MI 48197-0860 |
| Thuy An Orlando | Family Medicine | Iha Health Services Corporation | 4940 W Clark Rd, Ypsilanit, MI 48197-0860 |
| Shannon Kusiak | Family Medicine | Iha Health Services Corporation | 4940 W Clark Rd, Ypsilanit, MI 48197-0860 |
| Lisa M Kurajian | Family Medicine | Iha Health Services Corporation | 4940 W Clark Rd, 100 Iha Fam Med Arbor Park, Ypsilanti, MI 48197-0860 |
| Vaishali Katial | Family Medicine | Iha Health Services Corporation | 4940 W Clark Rd, Ypsilanit, MI 48197-0860 |
| Stacy Deckhart | Nurse Practitioner | Iha Health Services Corporation | 4940 W Clark Rd, 100 Iha Fam Med Arbor Park, Ypsilanti, MI 48197-0860 |
| Find all physicians in zip 48197 | |||
| City | YPSILANTI |
| Zip Code | 48197 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | YPSILANTI + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Harold 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.