J DAVID GIBEAULT (NPI# 1194820761) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194820761 |
| Entity Type | Individual |
| Full Name | J DAVID GIBEAULT |
| Credential | MD |
| Practice Address |
3100 N Campbell Ave Suite 102 Tucson AZ 85719-2315 |
| Mailing Address |
Po Box 30370 Tucson AZ 85751-0370 |
| Practice Telephone | 5205771200 |
| Practice Fax Number | 5205771559 |
| Mailing Telephone | 5207220777 |
| Mailing Fax Number | 5202909713 |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2007-10-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
13121 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 249202 | 05 |
| Street Address |
3100 N CAMPBELL AVE SUITE 102 |
| City | TUCSON |
| State | AZ |
| Zip Code | 85719-2315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982690970 | Cela M Archambault | Psychologist | 3100 N Campbell Ave, Suite 104, Tucson, AZ 85719-2315 | 2005-09-23 |
| 1023313442 | Alden Carroll | Social Worker | 3100 N Campbell Ave, Tucson, AZ 85719-2125 | 2011-01-14 |
| 1306990783 | J. David Gibeault, Md, PC | Orthopaedic Surgery | 3100 N Campbell Ave, Suite 102, Tucson, AZ 85719-2315 | 2007-01-22 |
| 1407887284 | Frank Hammer-tomizuka | Specialist/Technologist | 3100 N Campbell Ave, Suite 101, Tucson, AZ 85719-2315 | 2006-07-06 |
| 1730117383 | Teresa Delaune | Physical Therapist | 3100 N Campbell Ave, Suite 101, Tucson, AZ 85719-2315 | 2006-06-30 |
| 1891757175 | Bryan M Hannley | Physical Therapist | 3100 N Campbell Ave, Suite 101, Tucson, AZ 85719-7305 | 2006-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649813635 | Ishani Ravindra Deo | Psychologist | 1051 E Mabel St, Tucson, AZ 85719 | 2019-10-22 |
| 1235793100 | Jacquelyn Christine Wagner | Pediatrics | 1625 N Campbell, Tucson, AZ 85719 | 2019-04-26 |
| 1831652189 | Derek Allan Hatfield | Emergency Medicine | 1625 N Campbell Ave., Tucson, AZ 85719 | 2019-04-12 |
| 1053874305 | Travis Patrick Martin | Emergency Medicine | 1625 N. Campbell Ave, Tucson, AZ 85719 | 2019-04-12 |
| 1245793504 | Martin Cisneroz | Emergency Medicine | 1625 North Campbell Avenue, Tucson, AZ 85719 | 2019-04-12 |
| 1174086722 | Sarah Joy Ring | Emergency Medicine | 1625 N. Campbell Ave., Tucson, AZ 85719 | 2019-04-10 |
| 1790245520 | Akash M Doshi | Student in an Organized Health Care Education/Training Program | 3838 N Campbell Avenue, Bldg 2, Tuscon, AZ 85719 | 2019-03-20 |
| 1942773668 | Jeffery Roy Small | Massage Therapist | 3607 N Vine, Tucson, AZ 85719 | 2019-01-04 |
| 1114434180 | Elizabeth Irene Welch | Behavioral Analyst | 1430 E Fort Lowell Rd Ste 100, Tucson, AZ 85719 | 2017-12-29 |
| 1477076255 | Medavail Pharmacy Inc. | Pharmacy | 1430 E Fort Lowell Rd Ste 120, Tucson, AZ 85719 | 2017-07-24 |
| Find all providers in zip 85719 | ||||
| Taxonomy Code | 207XS0106X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Hand Surgery |
| An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992709240 | Timothy A Beer | Orthopaedic Surgery | 4727 E Camp Lowell Dr, Tucson, AZ 85712-1256 | 2005-06-02 |
| 1932472826 | Giles William Becker | Orthopaedic Surgery | 1501 N Campbell Ave, Umc, Department of Surgery-room 119, Tucson, AZ 85724-5064 | 2012-02-23 |
| 1417104977 | Tolga Turker | Orthopaedic Surgery | 707 N Alvernon Way, Suite 201, Tucson, AZ 85711-1827 | 2008-08-26 |
| 1316149131 | Shoaib I Sheikh | Orthopaedic Surgery | 707 N Alvernon Way Ste 205, Tucson, AZ 85711-1847 | 2007-06-04 |
| 1558405571 | Southwest Shoulder Elbow & Hand Center PC | Orthopaedic Surgery | 4727 E Camp Lowell Dr, Tucson, AZ 85712-1256 | 2007-02-16 |
| 1306990783 | J. David Gibeault, Md, PC | Orthopaedic Surgery | 3100 N Campbell Ave, Suite 102, Tucson, AZ 85719-2315 | 2007-01-22 |
| 1235133182 | David B Siegel | Orthopaedic Surgery | 4727 E Camp Lowell Dr, Tucson, AZ 85712-1256 | 2005-06-09 |
| 1942204896 | William Sherman Smith | Orthopaedic Surgery | 4727 E Camp Lowell Dr, Tucson, AZ 85712-1256 | 2005-06-09 |
| 1730183799 | Joel Dale Thompson | Orthopaedic Surgery | 4727 E Camp Lowell Dr, Tucson, AZ 85712-1256 | 2005-06-08 |
| 1205838398 | Thomas E Butler Jr. | Orthopaedic Surgery | 4727 E Camp Lowell Dr, Tucson, AZ 85712-1256 | 2005-06-02 |
| Find all providers in TUCSON | ||||
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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.