DR. GEORGE RAYMOND GIBSON III (NPI# 1194745885) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194745885 |
| Entity Type | Individual |
| Full Name | DR. GEORGE RAYMOND GIBSON III |
| Credential | D.O. |
| Practice Address |
6300 La Calma Dr Ste 200 Austin TX 78752-3825 |
| Practice Telephone | 5124528533 |
| Mailing Telephone | 5124528533 |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2017-05-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 204D00000X | Neuromusculoskeletal Medicine & OMM | 02003009A | IN | Allopathic & Osteopathic Physicians |
| Y | 207P00000X | Emergency Medicine | 005432 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | MEDICAL LICENSE | 005432 | 01 |
| TX | TEXAS MEDICAL BOARD | P8586 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144365545 | George W Gibson | Obstetrics & Gynecology | 15201 W Mcnichols Rd, Detroit, MI 48235-3717 | 2007-02-21 |
| 1487672572 | George D Gibson | Family Medicine | 8875 La Mesa Blvd Ste C, La Mesa, CA 91941-5134 | 2006-07-17 |
| 1205880960 | George Gibson | Internal Medicine | 3670 Parker Blvd Ste 101, Pueblo, CO 81008-2207 | 2006-05-19 |
| 1437465952 | George Farrell Gibson II | Counselor | 502 N Market St, Champaign, IL 61820-3634 | 2010-08-21 |
| 1336361559 | George V Gibson Jr. | Orthopaedic Surgery | 2305 Genoa Business Park Dr., Suite 120, Brighton, MI 48114 | 2007-05-03 |
| 1942258389 | George Morris Gibson | Dentist | 4323 Hill St, Columbia, SC 29207-6022 | 2006-05-05 |
| Street Address |
6300 LA CALMA DR STE 200 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78752-3825 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073596318 | Michael J Bell | Physician Assistant | 6300 La Calma Dr Ste 200, Austin, TX 78752-3825 | 2005-11-21 |
| 1588116917 | Christina Trevino | Physician Assistant | 6300 La Calma Dr Ste 200, Austin, TX 78752-3825 | 2016-11-02 |
| 1487066767 | Anton Lee Temple | Emergency Medicine | 6300 La Calma Dr Ste 200, Austin, TX 78752-3825 | 2014-05-21 |
| 1356789168 | Justin K Cherian | Emergency Medicine | 6300 La Calma Dr Ste 200, Austin, TX 78752-3825 | 2013-06-13 |
| 1871889436 | Manuela Ewing | Emergency Medicine | 6300 La Calma Dr Ste 200, Austin, TX 78752-3825 | 2011-06-22 |
| 1003115890 | Nicole Maree Hotchkiss | Emergency Medicine | 6300 La Calma Dr Ste 200, Austin, TX 78752-3825 | 2011-03-20 |
| 1417274606 | Harbir Singh | Emergency Medicine | 6300 La Calma Dr Ste 200, Austin, TX 78752-3825 | 2010-04-27 |
| 1316177066 | Merkeza Grant | Emergency Medicine | 6300 La Calma Dr Ste 200, Austin, TX 78752-3825 | 2009-07-15 |
| 1598909335 | Long Van Nguyen | Emergency Medicine | 6300 La Calma Dr Ste 200, Austin, TX 78752-3825 | 2009-04-23 |
| 1720240666 | Gavin Moreland | Emergency Medicine | 6300 La Calma Dr Ste 200, Austin, TX 78752-3825 | 2008-07-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255996807 | Jessica Wells | Social Worker | 313 East Anderson Lane, Suite 120, Austin, TX 78752 | 2019-05-08 |
| 1043702483 | Amelia Secord | Occupational Therapist | 7701 N Lamar, Suite 314, Austin, TX 78752 | 2018-06-01 |
| 1871082420 | J&w Vision Associates Pllc | Optometrist | 6929 Airport Blvd Ste 165, Austin, TX 78752 | 2018-05-08 |
| 1124539242 | The Refuge for Dmst | Counselor | 300 East Saint Johns Ave., Austin, TX 78752 | 2017-10-16 |
| 1639689441 | Sleep Cycle Center, LLC | Dentist | 7101 Easy Wind Dr Unit 3116, Austin, TX 78752 | 2017-10-06 |
| 1215458997 | Jose De Jesus Garcia-cuellar | Social Worker | 7701 N Lamar Blvd Ste 313, Austin, TX 78752 | 2017-07-03 |
| 1619415213 | Infinite Recovery LLC | Substance Abuse Rehabilitation Facility | 7517 Cameron Rd Ste #118, Austin, TX 78752 | 2017-02-03 |
| 1043756612 | Tse Transport Services | Non-emergency Medical Transport (VAN) | 7223 Creekside Drive, Austin, TX 78752 | 2017-01-06 |
| 1912442823 | Anesha Roshon Brown-morris | Massage Therapist | 6406 North Ih 35, Suite 2300, Suite 308, Austin, TX 78752 | 2016-12-31 |
| 1831540319 | Eva Dolores Sloan | Counselor | 500 East St. John's Ave, Austin, TX 78752 | 2016-06-27 |
| Find all providers in zip 78752 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992326078 | Sarah N Ibanez Shaw | Emergency Medicine | Ut Austin Dell Medical School Em Residency Program, 1400 N. I-35, Suite 2.230, Austin, TX 78701 | 2020-04-30 |
| 1740817956 | Woody Starcloud Green | Emergency Medicine | Dell Emergency Medicine Residency Program, 1400 N. Interstate Hwy 35, Suite 2.230, Austin, TX 78701 | 2020-03-26 |
| 1942864590 | Mitchell Warren | Emergency Medicine | The University of Texas At Austin Dell Medical School, 1400 N. I-35, Suite 2.230, Austin, TX 78701 | 2019-04-30 |
| 1871056820 | Erin Lincoln | Emergency Medicine | Ut Austin Dell Med School Em Residency Program, 1400 N I-35, Suite 2.230, Austin, TX 78701 | 2019-04-08 |
| 1194213686 | William Aufricht | Emergency Medicine | University of Texas At Austin Dell Medical School, 1400 N. I-35 Suite 2.230, Austin, TX 78701 | 2018-04-30 |
| 1609383660 | Amelia Southwest Health | Emergency Medicine | 5903 Long Ct, Austin, TX 78730-4920 | 2017-12-29 |
| 1669908471 | Tea Jonsson | Emergency Medicine | 6836 Bee Caves Rd Ste 112, Austin, TX 78746-5059 | 2017-05-11 |
| 1851754642 | John Donahoe | Emergency Medicine | 7202 Crandower Ct, Austin, TX 78741-6662 | 2016-03-30 |
| 1972977833 | Remedy Urgent Care Pllc | Emergency Medicine | 5901 Vega Aveneu, Suite 100, Austin, TX 78735 | 2015-11-16 |
| 1528443660 | Austin Five Star Er, P.a. | Emergency Medicine | 8721 Manchaca Road, Austin, TX 78748 | 2015-07-29 |
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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.