Gordon Fabing Gibbs (NPI# 1417929373, PAC ID# 9436187192) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1417929373 |
| PAC ID by PECOS | 9436187192 |
| Professional Enrollment ID | I20061017000100 |
| Full Name | Gordon Fabing Gibbs |
| Organization Legal Name | PUEBLO RADIOLOGICAL GROUP, P.C. |
| Address |
1008 Minnequa Ave Pueblo CO 81004-3798 |
| Phone Number | 7195605592 |
| Gender | M |
| Credential | MD |
| Medical School | LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE |
| Graduation Year | 1999 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Secondary Specialties | INTERVENTIONAL RADIOLOGY |
| Group Practice PAC ID | 5597661272 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 060012 | ST MARY CORWIN MED CTR, CENTURA HEALTH |
| 061344 | |
| 061316 | SPANISH PEAKS REGIONAL HEALTH CENTER |
| 060020 | PARKVIEW MEDICAL CENTER INC |
| Address | Phone | Organization |
|---|---|---|
| 1338 Phay Ave, Canon City, CO 81212-2302 | 7192852174 | PUEBLO RADIOLOGICAL GROUP, P.C. |
| 175 S Union Blvd, Suite 200, Colorado Springs, CO 80910-3117 | 7193725555 | ROCKY MOUNTAIN VEIN INSTITUTE PLLC |
| 1008 Minnequa Ave, Pueblo, CO 81004-3798 | 7195605592 | PUEBLO RADIOLOGICAL GROUP, P.C. |
| 115 E Riverwalk, Unit 200, Pueblo, CO 81003-3320 | 7195438346 | ROCKY MOUNTAIN VEIN INSTITUTE PLLC |
| Organization Legal Name | PUEBLO RADIOLOGICAL GROUP, P.C. |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael J Mccollum | Diagnostic Radiology | Pueblo Radiological Group, P.C. | 1008 Minnequa Ave, Pueblo, CO 81004-3798 |
| Mark S Moore | Diagnostic Radiology | Pueblo Radiological Group, P.C. | 1008 Minnequa Ave, Pueblo, CO 81004-3798 |
| Conor J Heaney | Diagnostic Radiology | Pueblo Radiological Group, P.C. | 1008 Minnequa Ave, Pueblo, CO 81004-3798 |
| Raj A Jain | Diagnostic Radiology | Pueblo Radiological Group, P.C. | 1008 Minnequa Ave, Pueblo, CO 81004-3798 |
| Danny C Ballenger | Diagnostic Radiology | Pueblo Radiological Group, P.C. | 1008 Minnequa Ave, Pueblo, CO 81004-3798 |
| Curtis L Harlow | Diagnostic Radiology | Pueblo Radiological Group, P.C. | 1008 Minnequa Ave, Pueblo, CO 81004-3798 |
| Street Address |
1008 MINNEQUA AVE |
| City | PUEBLO |
| State | CO |
| Zip | 81004-3798 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael J Mccollum | Diagnostic Radiology | Pueblo Radiological Group, P.C. | 1008 Minnequa Ave, Pueblo, CO 81004-3798 |
| Trent W Pansze | Pathology | Mountain States Pathology PC | 1008 Minnequa Ave, Pueblo, CO 81004-3733 |
| Lisa A Galaider | Nurse Practitioner | Catholic Health Initiatives Colorado | 1008 Minnequa Ave, Pueblo, CO 81004-3733 |
| Philip A Pennington | Hospitalist | Catholic Health Initiatives Colorado | 1008 Minnequa Ave, Pueblo, CO 81004-3733 |
| Anna Maria Alicia De Costa | Radiation Oncology | Pueblo Radiation Oncology, P.C. | 1008 Minnequa Ave, Pueblo, CO 81004-3733 |
| Mark S Moore | Diagnostic Radiology | Pueblo Radiological Group, P.C. | 1008 Minnequa Ave, Pueblo, CO 81004-3798 |
| Conor J Heaney | Diagnostic Radiology | Pueblo Radiological Group, P.C. | 1008 Minnequa Ave, Pueblo, CO 81004-3798 |
| Daniel C Mayes | Pathology | Mountain States Pathology PC | 1008 Minnequa Ave, Pueblo, CO 81004-3733 |
| Blair C Presti | Pathology | Mountain States Pathology PC | 1008 Minnequa Ave, Pueblo, CO 81004-3733 |
| Sigurd J. Torgerson | Pathology | Mountain States Pathology PC | 1008 Minnequa Ave, Pueblo, CO 81004-3733 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brenda J Mcbride-wilson | Nurse Practitioner | Health Solutions | 1012 W Abriendo Ave, Pueblo, CO 81004-1128 |
| Teresa J Marshall | Psychologist, Clinical | 635 W Corona Ave, Suite 203, Pueblo, CO 81004-1210 | |
| Lynne M Evetts | Nurse Practitioner | Pueblo Community Health Center Inc. | 900 W Orman Ave, Rm Mt118, Pueblo, CO 81004-1430 |
| Carly A Lacroix | Osteopathic Manipulative Medicine | Pueblo Community Health Center Inc. | 900 W Orman Ave, Rm Mt118, Pueblo, CO 81004-1430 |
| Jill Pollock | Psychologist, Clinical | Pueblo Community Health Center Inc. | 900 W Orman Ave, Rm Mt118, Pueblo, CO 81004-1430 |
| Stephanie D Bellah | Chiropractic | 824 W Abriendo Ave, Pueblo, CO 81004-1547 | |
| Scott C Cuthbert | Chiropractic | 255 W Abriendo Ave, Pueblo, CO 81004-1870 | |
| Michael Rosen Pyros | Chiropractic | Chiropractic Health Center PC | 255 W Abriendo Ave, Pueblo, CO 81004-1870 |
| Kimberly Coffman | Clinical Social Worker | A New Leaf Therapy LLC | 327 Colorado Ave, Pueblo, CO 81004-2005 |
| Robert J Graham | Chiropractic | Young and Graham, P.C. | 301 Colorado Ave, Pueblo, CO 81004-2005 |
| Find all physicians in zip 81004 | |||
| City | PUEBLO |
| Zip Code | 81004 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | PUEBLO + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Gordon Fabing 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.