DR. SYDNEY GIBLIN (NPI# 1124640164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124640164 |
| Entity Type | Individual |
| Full Name | DR. SYDNEY GIBLIN |
| Credential | MD |
| Practice Address |
340 Boatner Rd Eglin Afb FL 32542-1391 |
| Mailing Address |
236 Miracle Strip Pkwy Sw Unit B8 Fort Walton Beach FL 32548-6618 |
| Practice Telephone | 8508838600 |
| Mailing Telephone | 7577846982 |
| Enumeration Date | 2020-05-13 |
| Last Update Date | 2020-05-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171000000X | Military Health Care Provider | Other Service Providers |
| Street Address |
340 BOATNER RD |
| City | EGLIN AFB |
| State | FL |
| Zip Code | 32542-1391 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366042178 | Whitney Nichole Eckstine | Military Health Care Provider | 340 Boatner Rd, Eglin Afb, FL 32542-1391 | 2020-10-30 |
| 1992327779 | Janel Montfort-tunstall | Student in an Organized Health Care Education/Training Program | 340 Boatner Rd, Eglin Afb, FL 32542-1391 | 2020-05-14 |
| 1366064396 | Ishan Chopra | Student in an Organized Health Care Education/Training Program | 340 Boatner Rd, Eglin Afb, FL 32542-1391 | 2020-05-13 |
| 1538781513 | Danielle Marie Wilkin | Student in an Organized Health Care Education/Training Program | 340 Boatner Rd, Eglin Afb, FL 32542-1391 | 2020-05-12 |
| 1750917597 | Kyle Olsen | Student in an Organized Health Care Education/Training Program | 340 Boatner Rd, Eglin Afb, FL 32542-1391 | 2020-03-12 |
| 1336774215 | Emanuel Leroy Lookadoo Jr. | Military Health Care Provider | 340 Boatner Rd, Eglin Afb, FL 32542-1391 | 2020-03-11 |
| 1669012555 | Jeremy Carmical | Military Health Care Provider | 340 Boatner Rd, Eglin Afb, FL 32542-1391 | 2020-01-09 |
| 1699318816 | Alicia Marie Scott | Nurse Anesthetist, Certified Registered | 340 Boatner Rd, Eglin Afb, FL 32542-1391 | 2019-10-21 |
| 1861881716 | Elijah John Burton | Radiology | 340 Boatner Rd, Eglin Afb, FL 32542-1391 | 2015-01-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417440306 | Colt Sicher | Student in an Organized Health Care Education/Training Program | 96th Dental Squadron (afmc), Eglin Afb, Fl 32542, Apo, AA 32542 | 2018-06-14 |
| 1841679529 | Matthew Scurria | Dentist | 340 Boatner Rd. Bldg 2751, 96 Dental Squadron/sgdr, Eglin Afb, FL 32542 | 2015-05-27 |
| 1134518798 | 96th Medical Support Squadron | Military/U.S. Coast Guard Pharmacy | 3120 A. Talon Way, Eglin Afb Fld #3, FL 32542 | 2015-01-20 |
| 1598177123 | 96th Medical Support Squadron | Military/U.S. Coast Guard Pharmacy | 96 Medical Group Satellite Phcy Memorial Trail, Bldg. 1758, Eglin Afb, FL 32542 | 2014-06-02 |
| 1548602923 | Gerald Jordan Novack | Psychologist | 96mdos/sgow, 307 Boatner Rd, Fpo, AP 32542 | 2013-07-25 |
| 1699112821 | Taylor Anne Hahn | Obstetrics & Gynecology | 96th Medical Group, 307 Boatner Road, Eglin Air Force Base, FL 32542 | 2013-05-29 |
| 1134402662 | Jessamy Jae Thornton | Student in an Organized Health Care Education/Training Program | 340 Boatner Rd, Bldg 2751, Eglin Afb, FL 32542 | 2011-09-21 |
| 1346523974 | Mary Elizabeth Sorrentino | Dentist | 340 Boatner Road, Blgd. 2751, Eglin Afb, FL 32542 | 2011-09-20 |
| 1588945612 | Martin Army Community Hospital | Clinic/Center | 4327 North El Salvador Way, Eglin Afb, FL 32542 | 2011-09-02 |
| 1144516287 | Russell David Bienias | Dentist | 96th Dental Squadron (afmc), Eglin Afb, FL 32542 | 2011-06-28 |
| Find all providers in zip 32542 | ||||
| Taxonomy Code | 171000000X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |
| Notes: [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447872387 | Wesley Charles Wagers | Military Health Care Provider | 96 Mdos/sgof, 307 Boatner Road, Suite 114, Eglin Afb, FL 32542-1391 | 2020-05-14 |
| 1275027435 | Jessie Huynh | Military Health Care Provider | 307 Boatner Rd, Eglin Afb, FL 32542-1302 | 2018-06-20 |
| 1487148268 | Kristopher Dolehanty | Military Health Care Provider | 307 Boatner Rd, Eglin Afb, FL 32542-1302 | 2018-06-15 |
| 1629275813 | Donnel Ray Cribbins II | Military Health Care Provider | 304 N Mccarthy Ave Ste 117, Navscoleod, Eglin Afb, FL 32542-5630 | 2007-06-29 |
| 1144384314 | Patricia Marie Duvall | Military Health Care Provider | 307 Boatner Rd Ste 114, Eglin Afb, FL 32542-1302 | 2006-12-21 |
| 1699847632 | Elizabeth Peebles Sager | Military Health Care Provider | 307 Boatner Rd, Eglin Afb, FL 32542-1302 | 2006-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548808546 | Patrick S. Merriman | Military Health Care Provider | Navy Medicine Support Command Att: Medical Staff Svcs, Bldg H 2005 Knight Lane, Jacksonville, FL 32212-0140 | 2019-12-20 |
| 1023656451 | Operation Art District Healthcare LLC | Military Health Care Provider | 11 Nottingham Pl, Boynton Beach, FL 33426-8427 | 2019-12-17 |
| 1245881994 | Matthew Kerwin Church | Military Health Care Provider | 2020 Glenwood Hammock Rd, Deland, FL 32720-3805 | 2019-09-24 |
| 1326512443 | Francine Dorce I | Military Health Care Provider | 2300 Lynbrooke View Ct Apt 4, Orlando, FL 32822-4624 | 2019-01-12 |
| 1053805671 | Jeremy Ganz | Military Health Care Provider | 283 Twin Lakes Ln, Destin, FL 32541-2866 | 2018-06-18 |
| 1093224388 | Roland Vaughn | Military Health Care Provider | 970 Lake Carillon Dr Ste 300, St Petersburg, FL 33716-1130 | 2017-09-29 |
| 1134644750 | Kwanza Lincoln | Military Health Care Provider | 3520 Zemke Ave, Tampa, FL 33621 | 2017-08-04 |
| 1134576390 | Nathan Jamal Pena | Military Health Care Provider | 1320 Bailey Ave, Jacksonville, FL 32228-0028 | 2016-05-18 |
| 1780063644 | Samuel Herman | Military Health Care Provider | Naval Hospital Pensacola 6000 Us-98, Pensacola, FL 32512-0001 | 2015-05-26 |
| 1659612240 | Andrew J Wright | Military Health Care Provider | Naval Hospital Pensacola 6000 Us-98 Hwy, Pensacola, FL 32512 | 2013-03-07 |
| Find all providers with the same taxonomy | ||||
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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.