Samuel S Gibson (NPI# 1275500738, PAC ID# 7113928672) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GASTROENTEROLOGY.
| Nation Provider ID (NPI) | 1275500738 |
| PAC ID by PECOS | 7113928672 |
| Professional Enrollment ID | I20070309000536 |
| Full Name | Samuel S Gibson |
| Organization Legal Name | DIGESTIVE HEALTH CLINIC LLC |
| Address |
6259 W Emerald St Boise ID 83704-8731 |
| Phone Number | 2084891900 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF SOUTH DAKOTA SCHOOL OF MEDICINE |
| Graduation Year | 1983 |
| Primary Specialty | GASTROENTEROLOGY |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 7315948874 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 130007 | SAINT ALPHONSUS REGIONAL MEDICAL CENTER |
| 130006 | ST LUKE'S REGIONAL MEDICAL CENTER |
| 130013 | SAINT ALPHONSUS MEDICAL CENTER - NAMPA |
| 131312 | ST LUKE'S MCCALL |
| Address | Phone | Organization |
|---|---|---|
| 6259 W Emerald St, Boise, ID 83704-8731 | 2084891900 | DIGESTIVE HEALTH CLINIC LLC |
| Organization Legal Name | DIGESTIVE HEALTH CLINIC LLC |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nancy J L 'heureux | Nurse Practitioner | Digestive Health Clinic LLC | 6259 W Emerald St, Boise, ID 83704-8731 |
| Christopher J Goulet | Gastroenterology | Digestive Health Clinic LLC | 6259 W Emerald St, Boise, ID 83704-8731 |
| Stephen M Schutz | Gastroenterology | Digestive Health Clinic LLC | 6259 W Emerald St, Boise, ID 83704-8731 |
| Nic R Cordum | Gastroenterology | Digestive Health Clinic LLC | 6259 W Emerald St, Boise, ID 83704-8731 |
| Shaylan Renelle Pease | Physician Assistant | Digestive Health Clinic LLC | 6259 W Emerald St, Boise, ID 83704-8731 |
| Lauren Myer Shea | Gastroenterology | Digestive Health Clinic LLC | 6259 W Emerald St, Boise, ID 83704-8731 |
| Ashley T Evans | Gastroenterology | Digestive Health Clinic LLC | 6259 W Emerald St, Boise, ID 83704-8731 |
| Mark A Mallory | Gastroenterology | Digestive Health Clinic LLC | 6259 W Emerald St, Boise, ID 83704-8731 |
| Meghan T Jankowski | Gastroenterology | Digestive Health Clinic LLC | 6259 W Emerald St, Boise, ID 83704-8731 |
| Robert F Gibson | Gastroenterology | Digestive Health Clinic LLC | 6259 W Emerald St, Boise, ID 83704-8731 |
| Street Address |
6259 W EMERALD ST |
| City | BOISE |
| State | ID |
| Zip | 83704-8731 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nancy J L 'heureux | Nurse Practitioner | Digestive Health Clinic LLC | 6259 W Emerald St, Boise, ID 83704-8731 |
| Christopher J Goulet | Gastroenterology | Digestive Health Clinic LLC | 6259 W Emerald St, Boise, ID 83704-8731 |
| Stephen M Schutz | Gastroenterology | Digestive Health Clinic LLC | 6259 W Emerald St, Boise, ID 83704-8731 |
| Nic R Cordum | Gastroenterology | Digestive Health Clinic LLC | 6259 W Emerald St, Boise, ID 83704-8731 |
| Shaylan Renelle Pease | Physician Assistant | Digestive Health Clinic LLC | 6259 W Emerald St, Boise, ID 83704-8731 |
| Lauren Myer Shea | Gastroenterology | Digestive Health Clinic LLC | 6259 W Emerald St, Boise, ID 83704-8731 |
| Ashley T Evans | Gastroenterology | Digestive Health Clinic LLC | 6259 W Emerald St, Boise, ID 83704-8731 |
| Mark A Mallory | Gastroenterology | Digestive Health Clinic LLC | 6259 W Emerald St, Boise, ID 83704-8731 |
| Meghan T Jankowski | Gastroenterology | Digestive Health Clinic LLC | 6259 W Emerald St, Boise, ID 83704-8731 |
| Robert F Gibson | Gastroenterology | Digestive Health Clinic LLC | 6259 W Emerald St, Boise, ID 83704-8731 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tobin E Hill | Nurse Practitioner | Saint Alphonsus Specialty Services Inc | 6140 W Curtisian Ave, 200 Samg Heart Care Boise Moreau, Boise, ID 83704-0107 |
| Adrian J Curnow | Pediatric Medicine | Saint Alphonsus Specialty Services Inc | 6140 W Curtisian Ave, 200 Samg Heart Care Boise Moreau, Boise, ID 83704-0107 |
| Julia K Bouchard | Obstetrics/gynecology | Saint Alphonsus Specialty Services Inc | 6140 W Curtisian Ave, 200 Samg Heart Care Boise Moreau, Boise, ID 83704-0107 |
| Steven J Fonken | Interventional Cardiology | Saint Alphonsus Specialty Services Inc | 6140 W Curtisian Ave, Boise, ID 83704-0107 |
| Ellis J Salloum | Vascular Surgery | Saint Alphonsus Regional Medical Center Inc | 6140 W Curtisian Ave, Boise, ID 83704-0109 |
| Samantha J Benfield | Nurse Practitioner | Saint Alphonsus Specialty Services Inc | 6140 W Curtisian Ave, 102 Samg Cardiothoracic Services Boise, Boise, ID 83704-0109 |
| Calvin T Jewell | General Surgery | Saint Alphonsus Specialty Services Inc | 6140 W Curtisian Ave, 100 Samg General Surgery Suite 100, Boise, ID 83704-0109 |
| Noah Blue Edvalson | Chiropractic | 3224 N Maple Grove Rd, Boise, ID 83704-4214 | |
| Christopher A Waters | Clinical Psychologist | Living Hope Clinic Inc | 3308 N Cole Rd A, Boise, ID 83704-4407 |
| Charles M Rice | Psychologist, Clinical | 3308 N Cole Rd, Suite A, Boise, ID 83704-4407 | |
| Find all physicians in zip 83704 | |||
| City | BOISE |
| Zip Code | 83704 |
| Specialty | GASTROENTEROLOGY |
| City + Specialty | BOISE + GASTROENTEROLOGY |
Please comment or provide details below to improve the information on Samuel S 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.