Richard W Gibson (NPI# 1497773345, PAC ID# 8224932546) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1497773345 |
| PAC ID by PECOS | 8224932546 |
| Professional Enrollment ID | I20040617000552 |
| Full Name | Richard W Gibson |
| Organization Legal Name | IASIS GLENWOOD REGIONAL MEDICAL CENTER LP |
| Address |
503 Mcmillan Rd West Monroe LA 71291-5327 |
| Phone Number | 6154671246 |
| Gender | M |
| Credential | CNA |
| Graduation Year | 2003 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 9032212170 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 190160 | GLENWOOD REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 503 Mcmillan Rd, West Monroe, LA 71291-5327 | 6154671246 | IASIS GLENWOOD REGIONAL MEDICAL CENTER LP |
| Organization Legal Name | IASIS GLENWOOD REGIONAL MEDICAL CENTER LP |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sperry Brown | Certified Registered Nurse Anesthetist (crna) | Iasis Glenwood Regional Medical Center Lp | 503 Mcmillan Rd, West Monroe, LA 71291-5327 |
| Justin Snowden | Certified Registered Nurse Anesthetist (crna) | Iasis Glenwood Regional Medical Center Lp | 503 Mcmillan Rd, West Monroe, LA 71291-5327 |
| Pamela H Beach | Certified Registered Nurse Anesthetist (crna) | Iasis Glenwood Regional Medical Center Lp | 503 Mcmillan Rd, West Monroe, LA 71291-5327 |
| Larry Howard | Certified Registered Nurse Anesthetist (crna) | Iasis Glenwood Regional Medical Center Lp | 503 Mcmillan Rd, West Monroe, LA 71291-5327 |
| Freddy Box | Certified Registered Nurse Anesthetist (crna) | Iasis Glenwood Regional Medical Center Lp | 503 Mcmillan Rd, West Monroe, LA 71291-5327 |
| Szu-wei Domingue | Anesthesiology | Iasis Glenwood Regional Medical Center Lp | 503 Mcmillan Rd, West Monroe, LA 71291-5327 |
| Todd D Gray | Certified Registered Nurse Anesthetist (crna) | Iasis Glenwood Regional Medical Center Lp | 503 Mcmillan Rd, West Monroe, LA 71291-5327 |
| Jeffery K Kent | Certified Registered Nurse Anesthetist (crna) | Iasis Glenwood Regional Medical Center Lp | 503 Mcmillan Rd, West Monroe, LA 71291-5327 |
| Kitty Barron | Certified Registered Nurse Anesthetist | Iasis Glenwood Regional Medical Center Lp | 503 Mcmillan Rd, West Monroe, LA 71291-5327 |
| Charles A Mcintosh Iii | Anesthesiology | Iasis Glenwood Regional Medical Center Lp | 503 Mcmillan Rd, West Monroe, LA 71291-5327 |
| Street Address |
503 MCMILLAN RD |
| City | WEST MONROE |
| State | LA |
| Zip | 71291-5327 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William Todd Yates | Anesthesiology | Ed Physicians of West Louisiana, LLC | 503 Mcmillan Rd, West Monroe, LA 71291-5327 |
| Anthony L Mitchell | Emergency Medicine | Hni Medical Services At Glenwood LLC | 503 Mcmillan Rd, West Monroe, LA 71291-5327 |
| Sperry Brown | Certified Registered Nurse Anesthetist (crna) | Iasis Glenwood Regional Medical Center Lp | 503 Mcmillan Rd, West Monroe, LA 71291-5327 |
| Jenny Guerre | Neurology | Physician Group of Louisiana Inc | 503 Mcmillan Rd, Fl 2, West Monroe, LA 71291-5327 |
| Jacob M Hebert | General Surgery | Physician Group of Louisiana Inc | 503 Mcmillan Rd, Fl 2, West Monroe, LA 71291-5327 |
| Jennifer E. Creel | Nurse Practitioner | Hni Medical Services At Glenwood LLC | 503 Mcmillan Rd, West Monroe, LA 71291-5327 |
| Daniel Trejo | Family Medicine | Hni Medical Services At Glenwood LLC | 503 Mcmillan Rd, West Monroe, LA 71291-5327 |
| Justin Snowden | Certified Registered Nurse Anesthetist (crna) | Iasis Glenwood Regional Medical Center Lp | 503 Mcmillan Rd, West Monroe, LA 71291-5327 |
| Roland Ponarski | Internal Medicine | Physician Group of Louisiana Inc | 503 Mcmillan Rd, Fl 2, West Monroe, LA 71291-5327 |
| Pamela H Beach | Certified Registered Nurse Anesthetist (crna) | Iasis Glenwood Regional Medical Center Lp | 503 Mcmillan Rd, West Monroe, LA 71291-5327 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Victoria T Durkee | Clinical Nurse Specialist | Physician Group of Louisiana Inc | 128 Ridgedale Dr, Suite 1, West Monroe, LA 71291-2017 |
| Kaleb K Deshotel | Chiropractic | 811 Cypress St, West Monroe, LA 71291-2923 | |
| Steven R Crider | Infectious Disease | 405 Stella St A, West Monroe, LA 71291-2968 | |
| Mark S Debord | Clinical Social Worker | 212 Cypress St, West Monroe, LA 71291-3120 | |
| Anna Reardon | Physical Therapy | Melanie Massey Physical Therapy Inc | 107 Summer Ln, West Monroe, LA 71291-3501 |
| Shandra Winbush | Qualified Speech Language Pathologist | Melanie Massey Physical Therapy Inc | 107 Summer Ln, West Monroe, LA 71291-3501 |
| Justin M. Rawls | Physical Therapy | Melanie Massey Physical Therapy Inc | 107 Summer Ln, West Monroe, LA 71291-3501 |
| Melanie Massey | Physical Therapy | Melanie Massey Physical Therapy Inc | 107 Summer Ln, West Monroe, LA 71291-3501 |
| Anne Colvin | Occupational Therapy | Melanie Massey Physical Therapy Inc | 107 Summer Ln, West Monroe, LA 71291-3501 |
| Lauren A Sledge | Qualified Speech Language Pathologist | Melanie Massey Physical Therapy Inc | 107 Summer Ln, West Monroe, LA 71291-3501 |
| Find all physicians in zip 71291 | |||
| City | WEST MONROE |
| Zip Code | 71291 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | WEST MONROE + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
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| 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.