STEPHEN GIBBS (NPI# 1093125676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
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 |
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 |
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 |
Street Address |
4689 HIGHWAY 17 SUITE 11 |
City | FLEMING ISLAND |
State | FL |
Zip Code | 32003 |
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 |
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 Code | 207XX0801X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
Specialization | Orthopaedic Trauma |
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. |
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 |
City | FLEMING ISLAND |
Zip Code | 32003 |
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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.