STEPHEN GIBBS


Address: 4689 Highway 17, Suite 11, Fleming Island, FL 32003
Phone: 9043759753

STEPHEN GIBBS (NPI# 1093125676) 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) 1093125676
Entity Type Individual
Full Name STEPHEN GIBBS
Credential MD
Practice Address 4689 Highway 17
Suite 11
Fleming Island
FL 32003
Mailing Address Po Box 19305
Charlotte
NC 28219-9305
Practice Telephone 9043759753
Practice Fax Number 9043758380
Enumeration Date 2014-05-05
Last Update Date 2020-09-14
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207X00000X Orthopaedic Surgery 2019-01449 NC Allopathic & Osteopathic Physicians
Y 207XX0801X Orthopaedic Surgery
Specialization: Orthopaedic Trauma
ME145626 FL Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
1100 Blythe Blvd, Charlotte, NC 282035814 7043559330
105 Yadkin St, Ste 101, Albemarle, NC 280013449 9803235425
1350 S Kings Dr, Charlotte, NC 282072134 7044461340
2700 Providence Rd S, Ste 225, Waxhaw, NC 281736313 7048638750
3627 University Blvd S Ste 550, Jacksonville, FL 322167401 9045708604
441 Mcalister Rd, Suite 1100a, Lincolnton, NC 280924126 9802126250
1585 Forney Creek Pkwy, Suite 2350, Denver, NC 280379514 7048011530

Other Providers STEPHEN GIBBS

NPI Name Taxonomy Address Enumeration
1487610002 Stephen Walter Gibbs Dentist 2010 Botulph Rd, Santa Fe, NM 87505 2006-04-22
1801993027 Stephen Delano Gibbs Dermatology 572 Philadelphia St, Indiana, PA 15701 2006-09-20

Office Location

Street Address 4689 HIGHWAY 17
SUITE 11
City FLEMING ISLAND
State FL
Zip Code 32003

Providers in the same location

NPI Name Taxonomy Address Enumeration
1033694815 Karlee Butler Norell Physical Therapist 4689 Highway 17, Ste 11 & 12, Fleming Island, FL 32003 2018-09-27
1659892529 Hughston Orthopaedic Southeast PC Durable Medical Equipment & Medical Supplies 4689 Highway 17, Suite 11 & 12, Fleming Island, FL 32003 2017-06-30

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1649758012 Pruitthealth - Fleming Island, LLC Skilled Nursing Facility 2040 Town Center Boulevard, Fleming Island, FL 32003 2018-07-30
1841733904 Linda Giacobbe Community/Behavioral Health 4609 Hwy 17, Suite 1, Fleming Island, FL 32003 2016-11-22
1538515796 Kelly Standish Dentist 1700 Eagle Harbor Parkway East, Orange Park, FL 32003 2016-05-06
1396119301 Emily Benn Physical Therapist 4689 Hwy 17, Suite 11, Fleming Island, FL 32003 2015-11-16
1467834929 Sherrye Frady Nurse Practitioner 1915 East West Pkwy #2, Fleming Island, FL 32003 2015-06-22
1023497658 Musa Medical Supplies Durable Medical Equipment & Medical Supplies 1915 Eastwest Parkway, Fleming Island, FL 32003 2015-05-28
1033555198 Lillie Elaine Switanek Social Worker 1 743 Cr 220, Fleming Island, FL 32003 2013-05-16
1003188475 Comfortable Care Dental Health Professionals Dentist 1647 Country Road 220, Suite 101, Fleming Island, FL 32003 2012-02-01
1285901488 Lynzie Lane Cammilleri Pharmacist 1565 Doctor's Inlet, Orange Park, FL 32003 2011-11-17
1235435652 Trent Charles Harrison Physical Therapist 1675 Eagle Harbor Parkway Ste B, Orange Park, FL 32003 2011-02-02
Find all providers in zip 32003

Taxonomy Information

Taxonomy Code 207XX0801X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery
Specialization Orthopaedic Trauma

Taxonomy Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic trauma surgeons deal with the evaluation and management of acute orthopaedic injuries, evaluation and treatment of post-traumatic deformities and nonunions, acute and delayed reconstruction of pelvic and acetabular fractures, as well as osteotomy in the adult hip for treatment of hip arthritis.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1275183972 Medical Solutions Orthopaedic Surgery 353 Broyles Dr Se, Palm Bay, FL 32909-2355 2019-09-13
1235619727 Ortho Florida, LLC Orthopaedic Surgery 4900 Bayou Blvd Ste 107, Pensacola, FL 32503-2543 2018-08-15
1467828228 Transitional Care Medical Associates Inc. Orthopaedic Surgery 12989 Southern Blvd, Mod 3, Ste 202, Loxahatchee, FL 33470-9291 2015-08-17
1316243538 Kevin Patrick O'halloran Orthopaedic Surgery 2943 Highway 77, Panama City, FL 32405-4411 2011-02-04
1396055299 Raymond A Long Orthopaedic Surgery 341 Racetrack Rd Nw Ste C, Fort Walton Beach, FL 32547-1788 2010-10-14
1396074316 Diplomat Orthopaedic Group, P.a. Orthopaedic Surgery 10600 Griffin Road, Suite 104, Cooper City, FL 33328-3208 2009-12-22
1558525733 John Thomas Riehl Orthopaedic Surgery 3298 Summit Blvd Ste 4, Pensacola, FL 32503-4350 2008-07-16
1386846871 Lisa R Blackrick Orthopaedic Surgery 3627 University Blvd S Ste 550, Jacksonville, FL 32216-7401 2007-06-05
1275734766 Daniel Bayon Chan Orthopaedic Surgery 1150 N 35th Ave Ste 130, Hollywood, FL 33021 2007-05-30
1093927451 David Lee Smith Jr. Orthopaedic Surgery 5147 N 9th Ave Ste 103, Pensacola, FL 32504-8770 2007-05-05
Find all providers with the same taxonomy

Competitor

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City FLEMING ISLAND
Zip Code 32003

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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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