Russell E Gibson (NPI# 1568513075, PAC ID# 5496847782) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PULMONARY DISEASE.
| Nation Provider ID (NPI) | 1568513075 |
| PAC ID by PECOS | 5496847782 |
| Professional Enrollment ID | I20070816000149 |
| Full Name | Russell E Gibson |
| Address |
1405 W Baddour Pkwy Suite 101 Lebanon TN 37087-2595 |
| Gender | M |
| Medical School | UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE |
| Graduation Year | 2000 |
| Primary Specialty | PULMONARY DISEASE |
| Secondary Specialties | PEDIATRIC MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440003 | SUMNER REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1405 W Baddour Pkwy, Suite 101, Lebanon, TN 37087-2595 |
| Street Address |
1405 W BADDOUR PKWY SUITE 101 |
| City | LEBANON |
| State | TN |
| Zip | 37087-2595 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bancroft O Quinn Jr. | Otolaryngology | 1405 W Baddour Pkwy, Suite 106, Lebanon, TN 37087-2675 | |
| Larimore C Warren | Vascular Surgery | 1405 W Baddour Pkwy, Suite 100, Lebanon, TN 37087-2595 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nicholas Adam Roberson | Occupational Therapy | Premier Orthopaedics and Sports Medicine Plc | 100 Physicians Way, Suite 110, Lebanon, TN 37087 |
| Brittany Williams | Physical Therapy | Premier Orthopaedics and Sports Medicine Plc | 100 Physicians Way, Suite 110, Lebanon, TN 37087 |
| Richard A Kincaid | Nurse Practitioner | Family Medical PC | 1407 Baddour Pkwy, Lebanon, TN 37087-0001 |
| Samuel J Crutcher | Family Medicine | Family Medical PC | 1407 Baddour Pkwy, Lebanon, TN 37087-0001 |
| Bernard T. Sy | Internal Medicine | Family Medical PC | 1407 Baddour Pkwy, Lebanon, TN 37087-0001 |
| Roger Earl Mckinney | Family Medicine | Family Medical PC | 1407 Baddour Pkwy, Lebanon, TN 37087-0001 |
| George William Robertson Sr. | General Surgery | Family Medical PC | 1407 Baddour Pkwy, Lebanon, TN 37087-0001 |
| Jason L Black | Nurse Practitioner | Family Medical PC | 1407 Baddour Pkwy, Lebanon, TN 37087-0001 |
| Erin Mcculloch Crisp | Physician Assistant | Family Medical PC | 1407 Baddour Pkwy, Lebanon, TN 37087-0001 |
| Lindsey Nicole Lattimore | Nurse Practitioner | Family Medical PC | 1407 Baddour Pkwy, Lebanon, TN 37087-0001 |
| Find all physicians in zip 37087 | |||
| City | LEBANON |
| Zip Code | 37087 |
| Specialty | PULMONARY DISEASE |
| City + Specialty | LEBANON + PULMONARY DISEASE |
Please comment or provide details below to improve the information on Russell E 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.