Kenneth L Gibbs (NPI# 1174506455, PAC ID# 7315926847) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERVENTIONAL CARDIOLOGY.
| Nation Provider ID (NPI) | 1174506455 |
| PAC ID by PECOS | 7315926847 |
| Professional Enrollment ID | I20040717000009 |
| Full Name | Kenneth L Gibbs |
| Organization Legal Name | LAWNWOOD CARDIOVASCULAR SURGERY LLC |
| Address |
2401 Frist Blvd Suite 5 Fort Pierce FL 34950-4800 |
| Phone Number | 7724618100 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF CONNECTICUT SCHOOL OF MEDICINE |
| Graduation Year | 1980 |
| Primary Specialty | INTERVENTIONAL CARDIOLOGY |
| Secondary Specialties | CARDIOVASCULAR DISEASE (CARDIOLOGY), INTERNAL MEDICINE |
| Group Practice PAC ID | 7214937598 |
| Number of Group Practice Members | 41 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100049 | HIGHLANDS REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2401 Frist Blvd, Suite 5, Fort Pierce, FL 34950-4800 | 7724618100 | LAWNWOOD CARDIOVASCULAR SURGERY LLC |
| Organization Legal Name | LAWNWOOD CARDIOVASCULAR SURGERY LLC |
| Physicians | 41 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christian A Otero | Thoracic Surgery | Lawnwood Cardiovascular Surgery LLC | 11760 Sw 40th Street, 352 Florida Heart and Vascular Care On Su, Miami, FL 33175-3595 |
| Jack Zeltzer | Vascular Surgery | Lawnwood Cardiovascular Surgery LLC | 180 Jfk Dr, Suite 340, Atlantis, FL 33462-6641 |
| Debra L Baldwin | Physician Assistant | Lawnwood Cardiovascular Surgery LLC | 5301 S Congress Ave, Atlantis, FL 33462-1149 |
| Robert D Chait | Cardiovascular Disease (cardiology) | Lawnwood Cardiovascular Surgery LLC | 180 John F Kennedy Dr, Suite 320, Atlantis, FL 33462-6607 |
| Elizabeth R Johnson | Vascular Surgery | Lawnwood Cardiovascular Surgery LLC | 11750 Sw 40th St, Kendall Regional Medical Center, Miami, FL 33175-3530 |
| Aleksandr V Potashnik | Physician Assistant | Lawnwood Cardiovascular Surgery LLC | 5301 S Congress Ave, Atlantis, FL 33462-1149 |
| Allan S Stewart | Thoracic Surgery | Lawnwood Cardiovascular Surgery LLC | 3661 S Miami Ave, 301 Florida Heart and Vascular Care At Me, Miami, FL 33133-4232 |
| William H Heitman | Thoracic Surgery | Lawnwood Cardiovascular Surgery LLC | 2401 Frist Blvd, Suite 5, Fort Pierce, FL 34950-4800 |
| Mike Enrique Buitrago | Nurse Practitioner | Lawnwood Cardiovascular Surgery LLC | 8251 W Broward Blvd, 300 Fl Heart and Vascular Care At Kendal, Plantation, FL 33324-2703 |
| Berkley C Curtis Jr. | Physician Assistant | Lawnwood Cardiovascular Surgery LLC | 8201 W Broward Blvd, Plantation, FL 33324-2701 |
| Street Address |
2401 FRIST BLVD SUITE 5 |
| City | FORT PIERCE |
| State | FL |
| Zip | 34950-4800 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelli Kraaz | Nurse Practitioner | Humayun Shareef Md Pa | 2401 Frist Blvd, Suite 1, Fort Pierce, FL 34950-4800 |
| William H Heitman | Thoracic Surgery | Lawnwood Cardiovascular Surgery LLC | 2401 Frist Blvd, Suite 5, Fort Pierce, FL 34950-4800 |
| Meshach P Heenatigala | General Surgery | Palm Beach General Surgery LLC | 2401 Frist Blvd, Suite 4, Fort Pierce, FL 34950-4800 |
| John S Anastasi | Cardiac Surgery | Lawnwood Cardiovascular Surgery LLC | 2401 Frist Blvd, Suite 5, Fort Pierce, FL 34950-4800 |
| Pei C Chung | General Surgery | Palm Beach General Surgery LLC | 2401 Frist Blvd, Suite 4, Fort Pierce, FL 34950-4800 |
| Susan May Thyme | Nurse Practitioner | Internal Medicine Consultants of Saint Lucie County LLC | 2401 Frist Blvd, Suite 1, Fort Pierce, FL 34950-4800 |
| Humayun Shareef | Family Medicine | Humayun Shareef Md Pa | 2401 Frist Blvd, Suite 1, Fort Pierce, FL 34950-4800 |
| Melonie L Durkin | Nurse Practitioner | Palm Beach General Surgery LLC | 2401 Frist Blvd, Suite 4, Fort Pierce, FL 34950-4800 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ziad Marjieh | Cardiovascular Disease (cardiology) | 1801 Se Hillmoor Dr, B109, Port Saint Lucie, FL 34950 | |
| Wilhelmina Lewis | Family Medicine | Florida Community Health Centers Inc | 1505 Delaware Ave, Fort Pierce, FL 34950-3975 |
| Serge Volma Valme | Nurse Practitioner | Florida Community Health Centers Inc | 1505 Delaware Ave, Fort Pierce, FL 34950-3975 |
| Sarang Hadaegh | General Practice | Florida Community Health Centers Inc | 1505 Delaware Ave, Fort Pierce, FL 34950-3975 |
| Rene Leyva Quevedo | Nurse Practitioner | Florida Community Health Centers Inc | 1505 Delaware Ave, Fort Pierce, FL 34950-3975 |
| Reinaldo Hernandez Silva | Nurse Practitioner | Florida Community Health Centers Inc | 1505 Delaware Ave, Fort Pierce, FL 34950-3975 |
| Gladys Duarte | General Practice | Florida Community Health Centers Inc | 1505 Delaware Ave, Fort Pierce, FL 34950-3975 |
| Anitra G Brown | Obstetrics/gynecology | Florida Community Health Centers Inc | 1505 Delaware Ave, Fort Pierce, FL 34950-3975 |
| Arlene Morrison | Nurse Practitioner | Florida Community Health Centers Inc | 1505 Delaware Ave, Fort Pierce, FL 34950-3975 |
| Lola B. Harrison | Nurse Practitioner | Florida Community Health Centers Inc | 1505 Delaware Ave, Fort Pierce, FL 34950-3975 |
| Find all physicians in zip 34950 | |||
| City | FORT PIERCE |
| Zip Code | 34950 |
| Specialty | INTERVENTIONAL CARDIOLOGY |
| City + Specialty | FORT PIERCE + INTERVENTIONAL CARDIOLOGY |
Please comment or provide details below to improve the information on Kenneth L Gibbs.
| 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.