WILLIE B GIBSON MD PC (NPI# 1043549181) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043549181 |
| Entity Type | Organization |
| Organization Name | WILLIE B GIBSON MD PC |
| Practice Address |
18300 W Mcnichols Rd Detroit MI 48219-4162 |
| Practice Telephone | 3135359366 |
| Practice Fax Number | 3135341970 |
| Mailing Telephone | 3135359366 |
| Mailing Fax Number | 3135341970 |
| Enumeration Date | 2009-12-21 |
| Last Update Date | 2010-06-23 |
| Authorized Official Name | CHERYL L FOSTER (OFFICE MANAGER) |
| Authorized Official Telephone | 3135359366 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
4301035487 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1098127 | 05 |
| Street Address |
18300 W MCNICHOLS RD |
| City | DETROIT |
| State | MI |
| Zip Code | 48219-4162 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992734727 | Sylvia L Loving | Podiatrist | 18300 W Mcnichols Rd, Detroit, MI 48219-4162 | 2006-07-02 |
| 1457641011 | Oakwood Professional Billing, LLC | General Practice | 18300 W Mcnichols Rd, Detroit, MI 48219-4162 | 2011-04-15 |
| 1497801609 | Willie B Gibson | Internal Medicine | 18300 W Mcnichols Rd, Detroit, MI 48219-4162 | 2007-01-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891396008 | Betty Jean Fairchild-el | Home Health Aide | 20018 Norhtrop, Detroit, MI 48219 | 2020-11-04 |
| 1134787633 | Behavioral Health Professionals, Inc | Family Medicine | 19750 Burt Road, Detroit, MI 48219 | 2019-05-31 |
| 1255997755 | Shvaughn Laniece Nunley | Social Worker | 18422 W Mcnichols Rd, Detroit, MI 48219 | 2019-05-10 |
| 1770081168 | D & D Enterprise Group LLC | Durable Medical Equipment & Medical Supplies | 17405 Lahser, 202, Detroit, MI 48219 | 2018-01-31 |
| 1972011369 | Fibers of The Family LLC | Home Health | 16800 Edinborough Rd, Detroit, MI 48219 | 2018-01-19 |
| 1871049684 | Monique Jackson | Occupational Therapist | 21630 Jessel Ave, Detroit, MI 48219 | 2016-08-31 |
| 1114379773 | Audrey Hopkins | Licensed Practical Nurse | 20277 Redfren, Detroit, MI 48219 | 2016-07-07 |
| 1649628785 | Erin Bianco | Social Worker | 17321 Telegraph Rd., Detroit, MI 48219 | 2016-05-31 |
| 1144674664 | Lucinda Galmon-wallace | Technician, Other | 24424 Telegraph Road, Detroit, MI 48219 | 2016-04-21 |
| 1598120925 | Faith's Place LLC | Psychiatric Residential Treatment Facility | 16725 Blackstone Street, Detroit, MI 48219 | 2015-12-30 |
| Find all providers in zip 48219 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164633533 | Neelima Singh | Internal Medicine | University Health Center 4h, 4201 St. Antoine, Detroit, MI 48201 | 2007-05-25 |
| 1124012752 | Zaher Msallaty | Internal Medicine | 4201 Saint Antoine St Ste 5a, Detroit, MI 48201-2153 | 2005-09-09 |
| 1598760688 | Henry Grady Bone IIi | Internal Medicine | 22201 Moross Rd, Ste 260, Detroit, MI 48236-2175 | 2005-06-16 |
| 1386101285 | Halo Endocrinology | Internal Medicine | 4160 John R St Ste 510, Detroit, MI 48201-2021 | 2019-02-27 |
| 1235615840 | Ahmed Sawah Md PC | Internal Medicine | 4201 Saint Antoine St, Detroit, MI 48201-2153 | 2018-07-17 |
| 1417342486 | Bayan Chaker | Internal Medicine | 4201 Saint Antoine St # 2e, Detroit, MI 48201-2153 | 2015-04-06 |
| 1639319809 | Pedro S. Franco, M.d., PC | Internal Medicine | 7633 E Jefferson Ave, Suite 360, Detroit, MI 48214-3730 | 2009-03-02 |
| 1710124466 | Nesreen Saadeh | Internal Medicine | 4201 Saint Antoine St, 4h, Detroit, MI 48201-2153 | 2009-01-17 |
| 1417120221 | Veena Ramchandra Watwe | Internal Medicine | 4201 Saint Antoine St, Uhc Suite 4h, Detroit, MI 48201-2153 | 2008-04-12 |
| 1235308735 | Jessica Eve Shill | Internal Medicine | 3031 W Grand Blvd, Suite 800, Detroit, MI 48202-3046 | 2008-02-28 |
| Find all providers in DETROIT | ||||
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| 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.