DR. BETHANY T GIBSON


Address: 101 W Mckinley Ave, Enta Allergy, Head & Neck Institute, Decatur, IL 62526
Phone: 2178763682

DR. BETHANY T GIBSON (NPI# 1043278013) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1043278013
Entity Type Individual
Full Name DR. BETHANY T GIBSON
Credential M.D.
Practice Address 101 W Mckinley Ave
Enta Allergy, Head & Neck Institute
Decatur
IL 62526
Mailing Address 2300 N Edward St
Gsbll
Decatur
IL 62526-4163
Practice Telephone 2178763682
Practice Fax Number 2178763345
Mailing Telephone 2178763345
Mailing Fax Number 2178762874
Enumeration Date 2006-05-01
Last Update Date 2014-09-04
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207K00000X Allergy & Immunology 036115524 IL Allopathic & Osteopathic Physicians

Other Providers BETHANY GIBSON

NPI Name Taxonomy Address Enumeration
1013435932 Bethany Dawn Gibson Case Manager/Care Coordinator 530 S Main St, Lima, OH 45804-1240 2017-08-30
1033565767 Bethany Gibson Pharmacy Technician 106 21st St, Nitro, WV 25143-1740 2016-05-12

Office Location

Street Address 101 W MCKINLEY AVE
ENTA ALLERGY, HEAD & NECK INSTITUTE
City DECATUR
State IL
Zip Code 62526

Providers in the same location

NPI Name Taxonomy Address Enumeration
1104883735 Stephen J Chadwick Otolaryngology 101 W Mckinley Ave, Enta Allergy, Head & Neck Institute, Decatur, IL 62522 2006-04-27
1982123774 Loretta Louise Hedges Audiologist 101 W Mckinley Ave, Decatur, IL 62526-3286 2017-09-13
1831617224 Hannah Suzanne Gray Audiologist 101 W Mckinley Ave, Decatur, IL 62526-3286 2017-09-06
1194247239 Alyssa Dale Fitzgerald Audiologist 101 W Mckinley Ave, Decatur, IL 62526-3286 2017-07-11
1932657038 Ashley Patel Physician Assistant 101 W Mckinley Ave, Decatur, IL 62526-3286 2016-09-17
1922410851 Therese Kistenfeger Audiologist 101 W Mckinley Ave, Decatur, IL 62526-3286 2014-05-27
1184875189 Associated Otolaryngologists of Decatur Hearing Aid Equipment 101 W Mckinley Ave, 101w Mckinley Ave, Decatur, IL 62526-3286 2008-10-08
1952570947 James Klemens Audiologist-Hearing Aid Fitter 101 W Mckinley Ave, Decatur, IL 62526-3286 2008-02-25
1568646842 Jeffrey Michael Ulis Otolaryngology 101 W Mckinley Ave, Decatur, IL 62526-3286 2007-12-22
1598722712 Steven M Sobol Otolaryngology 101 W Mckinley Ave, Enta Allergy, Head & Neck Institute, Decatur, IL 62526 2006-05-01
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1083100804 Coalition Non-emergency Medical Transport (VAN) 2375 N Longwood Dr, Decatur, IL 62526 2018-07-04
1881116820 Bria N Howard Nurse's Aide 606 E Warren St. Apt 609, Decatur, IL 62526 2017-07-12
1437683679 Lutheran Child and Family Services Foster Care Agency 2826 N. Monroe Street, Decatur, IL 62526 2017-04-14
1083166326 Whitney Miller Pharmacist 225 East Ash Ave, Decatur, IL 62526 2016-11-03
1487053369 Central Illinois Health Associates, Inc Preferred Provider Organization 2300 N. Edward Street, Decatur, IL 62526 2014-08-18
1659787893 Stephanie Marie Kanitsch Obstetrics & Gynecology 544 W Pershing Rd Ste A, Decatur, IL 62526 2014-07-09
1497169973 Brian Hassinger Audiologist-Hearing Aid Fitter 2605 N Water St Ste 101, Decatur, IL 62526 2014-06-12
1891041570 Decatur 2016 LLC Dentist 141 Epershing Rd, Decatur, IL 62526 2012-07-31
1558639005 Larry Lee Christensen Pharmacist 225 Ash Ave, Decatur, IL 62526 2011-12-12
1174821540 Nathan Pyle Internal Medicine 2 Memorial Dr Ste 101, Decatur, IL 62526 2011-03-08
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Taxonomy Information

Taxonomy Code 207K00000X
Grouping Allopathic & Osteopathic Physicians
Classification Allergy & Immunology

Taxonomy Definition

An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.
Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1790969657 Mahipal Ravipati Allergy & Immunology 2426 Danville Rd Sw Ste P, Decatur, AL 35603-4294 2007-12-27
1366629248 George R Gottlieb, Md, PC Allergy & Immunology 2675 N Decatur Rd, Suite 404, Decatur, GA 30033-6131 2008-01-23
1134174790 George R Gottlieb Allergy & Immunology 2675 N Decatur Rd, Ste 404, Decatur, GA 30033 2006-05-23

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1649749813 Thao T Doan Allergy & Immunology 523 Sandy Ln, Libertyville, IL 60048-3553 2018-11-17
1275063695 Chicago Allergy & Asthma, LLC Allergy & Immunology 7447 W Talcott Ave Ste 308, Chicago, IL 60631-3714 2017-06-18
1982022810 Kirk Van Shepard II Allergy & Immunology 3000 N Halsted St Ste 400, Chicago, IL 60657-8480 2014-03-28
1790102176 Jennifer Christine Simonaire Allergy & Immunology 908 N Elm St Ste 205, Hinsdale, IL 60521-3637 2014-03-24
1558794446 Sarah M Boudreau-romano Allergy & Immunology 1300 N Lake Shore Dr Apt 3a, Chicago, IL 60610-2157 2013-08-14
1821420209 Donald Ernest Temple Allergy & Immunology 110 E Delaware Pl, Chicago, IL 60611-1481 2013-08-07
1013259647 Melissa Lee Robinson Allergy & Immunology 430 Pennsylvania Ave Ste 220, Glen Ellyn, IL 60137 2013-03-21
1871859645 Sarah Garon Allergy & Immunology 1460 N Halsted St Ste 506, Chicago, IL 60642-2605 2012-04-06
1386919421 Henry J. Dold Allergy & Immunology 1300 Kenilworth Av, Glenview, IL 60025-2204 2012-03-21
1386919538 Diosdado T Lim Allergy & Immunology 7520 W. Ute Ln, Palos Heights, IL 60463-2076 2012-03-20
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Competitor

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City DECATUR
Zip Code 62526

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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