Sara Faith Gibson (NPI# 1104814524, PAC ID# 8628062213) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1104814524 |
| PAC ID by PECOS | 8628062213 |
| Professional Enrollment ID | I20040414001612 |
| Full Name | Sara Faith Gibson |
| Organization Legal Name | LITTLE COLORADO BEHAVIORAL HEALTH CENTER INC. |
| Address |
470 W Cleveland Saint Johns AZ 85936-4501 |
| Phone Number | 9283374301 |
| Gender | F |
| Credential | MD |
| Medical School | UNIVERSITY OF MINNESOTA MEDICAL SCHOOL |
| Graduation Year | 1988 |
| Primary Specialty | PSYCHIATRY |
| Group Practice PAC ID | 4587657465 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 470 W Cleveland, Saint Johns, AZ 85936-4501 | 9283374301 | LITTLE COLORADO BEHAVIORAL HEALTH CENTER INC. |
| 50 N Hopi St, Springerville, AZ 85938-5221 | 9283332683 | LITTLE COLORADO BEHAVIORAL HEALTH CENTER INC. |
| Organization Legal Name | LITTLE COLORADO BEHAVIORAL HEALTH CENTER INC. |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dawn M Goldstein | Nurse Practitioner | Little Colorado Behavioral Health Center Inc. | 470 W Cleveland, Saint Johns, AZ 85936-4501 |
| Ellen P Morse | Nurse Practitioner | Little Colorado Behavioral Health Center Inc. | 50 N Hopi St, Springerville, AZ 85938-5221 |
| Cara L Quade | Nurse Practitioner | Little Colorado Behavioral Health Center Inc. | 470 W Cleveland, Saint Johns, AZ 85936-4501 |
| Elisa Stephens | Nurse Practitioner | Little Colorado Behavioral Health Center Inc. | 470 W Cleveland, Saint Johns, AZ 85936-4501 |
| Street Address |
470 W CLEVELAND |
| City | SAINT JOHNS |
| State | AZ |
| Zip | 85936-4501 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dawn M Goldstein | Nurse Practitioner | Little Colorado Behavioral Health Center Inc. | 470 W Cleveland, Saint Johns, AZ 85936-4501 |
| Martha Mcguffin | Nurse Practitioner | North Country Healthcare Inc | 470 W Cleveland, Saint Johns, AZ 85936-4501 |
| Cara L Quade | Nurse Practitioner | Little Colorado Behavioral Health Center Inc. | 470 W Cleveland, Saint Johns, AZ 85936-4501 |
| Elisa Stephens | Nurse Practitioner | Little Colorado Behavioral Health Center Inc. | 470 W Cleveland, Saint Johns, AZ 85936-4501 |
| Hannah Graham Rishel | Pediatric Medicine | North Country Healthcare Inc | 470 W Cleveland, Saint Johns, AZ 85936 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Flint C Hales | Family Medicine | North Country Healthcare Inc | 625 N 13th, Saint Johns, AZ 85936 |
| Carl S Wiltbank | Physical Therapy | 80 S 13th, St Johns, AZ 85936 | |
| Glenn M Finch | Nurse Practitioner | North Country Healthcare Inc | 625 N 13th, Saint Johns, AZ 85936 |
| Cameron L Nichols | Physician Assistant | North Country Healthcare Inc | 625 N 13th, Saint Johns, AZ 85936 |
| Robert S Dawson | Physician Assistant | North Country Healthcare Inc | 625 N 13th, Saint Johns, AZ 85936 |
| Jennifer A Kern | Nurse Practitioner | North Country Healthcare Inc | 625 N 13th, Saint Johns, AZ 85936 |
| Karen Bishop | Nurse Practitioner | North Country Healthcare Inc | 625 N 13th, Saint Johns, AZ 85936 |
| Ryan C Brewer | Chiropractic | 1200 W Cleveland St, Suite 6, St Johns, AZ 85936-2578 |
| City | SAINT JOHNS |
| Zip Code | 85936 |
| Specialty | PSYCHIATRY |
| City + Specialty | SAINT JOHNS + PSYCHIATRY |
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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.