DR. SANDRA FAYE GIBSON (NPI# 1316994726) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316994726 |
| Entity Type | Individual |
| Full Name | DR. SANDRA FAYE GIBSON |
| Credential | M.D. |
| Practice Address |
915 N Grand Blvd Pathology and Lab 113-jc Va Medical Center Saint Louis MO 63106-1621 |
| Practice Telephone | 3146524100 |
| Practice Fax Number | 3142897073 |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
R5J10 | MO | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568917169 | Sandra Gibson | Physical Therapist | 2021 Church St, Suite 502, Nashville, TN 37203-2021 | 2016-08-24 |
| 1447686050 | Sandra E Gibson | Physician Assistant | 5496 E Taft Rd, North Syracuse, NY 13212-3784 | 2013-09-16 |
| 1831377050 | Sandra Gibson | Social Worker | 428 Columbus Ave, New Haven, CT 06519-1233 | 2008-02-11 |
| 1144305798 | Sandra Wells Gibson | Dentist | 5445 N Kolb Rd, Suite 205, Tucson, AZ 85750-0744 | 2006-10-25 |
| Street Address |
915 N GRAND BLVD PATHOLOGY AND LAB 113-JC VA MEDICAL CENTER |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63106-1621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770027997 | Superior Manor of Downtown LLC | Assisted Living Facility | 1501 Clinton St., St Louis, MO 63106 | 2016-12-07 |
| 1811361454 | James Preston Jr. | Pharmacist | 915 N. Grand Vlvd, Pharmacy Dept., John Cochran Va Medical Center, Saint Louis, MO 63106 | 2015-11-19 |
| 1245656354 | Julie Marie Albsmeyer | Physician Assistant | 915 North Grand 111-jc-gi, John Cochran Va Hospital, St. Louis, MO 63106 | 2014-03-13 |
| 1932523230 | Cathy Yeung | Registered Nurse | 715 N Grand Blvd., St Louis, MO 63106 | 2014-02-07 |
| 1902149388 | Amanda Foley | Doula | 4056 Humphrey Street, Saint Louis, MO 63106 | 2013-04-03 |
| 1942569876 | Cornelia Charles | Internal Medicine | 915 Norh Grand Blvd, Saint Louis, MO 63106 | 2012-05-12 |
| 1124334396 | Kasandra Ann Tinajero | Registered Nurse | 915 N. Grand Blvd., St. Louis, MO 63106 | 2010-08-26 |
| 1366673931 | Cassandra Vernetta Talbert | Social Worker | 915 N. Grand., 122/jc Social Work Dept. V.a. Medical Center, St. Louis, MO 63106 | 2009-07-30 |
| 1497910707 | Robert Louis Tillman | Pharmacy Technician | 915 N Grand Ave, St. Louis, MO 63106 | 2008-07-25 |
| 1861676686 | Bradley Dean Overmeyer | Social Worker | 915 N Grand Blvd., Social Work Service, St. Louis, MO 63106 | 2007-12-28 |
| Find all providers in zip 63106 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609247543 | Muhammad Atif Atlaf Salyana | Pathology | 3635 Vista Ave Fl 4, Saint Louis University Hospital- Pathology Residency, Saint Louis, MO 63110-2539 | 2015-10-19 |
| 1194193326 | Mid-america Pathology Consultants, LLC | Pathology | 12898 Thornhill Ct, Saint Louis, MO 63131-1883 | 2015-09-03 |
| 1407260938 | Selvaraj Muthusamy | Pathology | 1325 S Grand Blvd, Room 436, Saint Louis, MO 63104-1018 | 2014-06-12 |
| 1184050031 | Rosa Perez Toro | Pathology | 350 Country Glen Ln, Saint Louis, MO 63141-6637 | 2013-09-24 |
| 1629326137 | Andrew Stephen Koopmeiners | Pathology | 660 So. Euclid, Box 8118, Washington University Department of Pathology, Saint Louis, MO 63108 | 2012-08-15 |
| 1912052416 | Mark Alan Hiken | Pathology | 9129 Wrenwood Ln, Saint Louis, MO 63144-1603 | 2007-01-24 |
| 1790849842 | John Todd Meredith | Pathology | 2040 Concourse Dr, Saint Louis, MO 63146-4119 | 2006-12-21 |
| 1255424974 | Jamie Cassity | Pathology | One Barnes-jewish Hospital Plaza, Saint Louis, MO 63110-1092 | 2006-10-02 |
| 1750315958 | Timothy D Fagen | Pathology | 1402 S Grand Blvd Ste M260, St Louis University Gme, Saint Louis, MO 63104-1004 | 2006-07-11 |
| 1093772147 | Elaine Z Charles | Pathology | 10296 Big Bend Rd, Ste 206, Saint Louis, MO 63122-6498 | 2006-05-01 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63106 |
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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.