DR. PATRICK JOHN GIBBONS (NPI# 1336142124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336142124 |
| Entity Type | Individual |
| Full Name | DR. PATRICK JOHN GIBBONS |
| Credential | M.D. |
| Practice Address |
13700 St Francis Blvd Suite 500 Midlothian VA 23114-3222 |
| Mailing Address |
Po Box 8310 Roanoke VA 24014-0310 |
| Practice Telephone | 8043787443 |
| Practice Fax Number | 8043780744 |
| Mailing Telephone | 5403453556 |
| Mailing Fax Number | 5403422193 |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2007-08-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 0101229755 | VA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 006501478 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801242854 | Patrick Gibbons | Counselor | 508 E Main St, Salem, VA 24153-4325 | 2016-05-09 |
| 1669736039 | Patrick H Gibbons | Psychiatry & Neurology | 1111 Elmwood Ave, Rochester, NY 14620-3005 | 2012-06-29 |
| 1619282233 | Patrick Brian Gibbons | Family Medicine | 4140 Southwest Highway, Hometown, IL 60456 | 2010-08-09 |
| 1336344910 | Patrick Shawn Gibbons | Internal Medicine | 300 Pasteur Dr, Stanford, CA 94305-2200 | 2007-06-15 |
| Street Address |
13700 ST FRANCIS BLVD SUITE 500 |
| City | MIDLOTHIAN |
| State | VA |
| Zip Code | 23114-3222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992349716 | Bon Secours - St Francis Medical Center, Inc | Internal Medicine | 13700 St Francis Blvd, Midlothian, VA 23114-3222 | 2019-11-05 |
| 1952945941 | Bon Secours St Francis Medical Center Inc. | Pediatrics | 13700 St Francis Blvd, Midlothian, VA 23114-3222 | 2019-11-01 |
| 1992351159 | Sarah Heavilon | Physical Therapist | 13700 St Francis Blvd, Midlothian, VA 23114-3222 | 2019-08-14 |
| 1437685765 | Michael Carson | Physical Therapy Assistant | 13700 St Francis Blvd, Midlothian, VA 23114-3222 | 2017-05-05 |
| 1104359587 | Denise Galbreath Bowman | Speech-Language Pathologist | 13700 St Francis Blvd, Suite 400, Midlothian, VA 23114-3222 | 2017-04-04 |
| 1740725225 | Tuckahoe Orthopaedic Associates, Ltd | Orthopaedic Surgery | 13700 St Francis Blvd, Suite 605, Midlothian, VA 23114-3222 | 2016-12-20 |
| 1417305780 | Leah Rosser Raettig | Nurse Practitioner | 13700 St Francis Blvd, Midlothian, VA 23114-3222 | 2016-05-27 |
| 1710309893 | Amanda Walker | Physical Therapist | 13700 St Francis Blvd, Midlothian, VA 23114-3222 | 2014-01-09 |
| 1326475260 | Bon Secours Virginia Medical Group I, LLC | Obstetrics & Gynecology | 13700 St Francis Blvd, Suite 305, Midlothian, VA 23114-3222 | 2013-10-10 |
| 1073940110 | Bon Secours Virginia Medical Group I, LLC | Obstetrics & Gynecology | 13700 St Francis Blvd, Suite 500, Midlothian, VA 23114-3222 | 2013-10-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174122162 | Jotava | In Home Supportive Care | 1607 Titanium Avenue, 202, Midlothian, VA 23114 | 2020-10-20 |
| 1104393735 | Shelley Hurwitz | Occupational Therapist | 13800 Bon Secours Drive, Midlothian, VA 23114 | 2018-11-01 |
| 1316412182 | Snehal Manmeet Mahajan | Physical Therapist | 13800 Bon Secours Dr., Midlothian, VA 23114 | 2018-10-09 |
| 1154814796 | Bon Secours St Francis Medical Center Inc. | Clinic/Center | 13700 St Francis Blvd Ste 105, Midlothian, VA 23114 | 2018-06-08 |
| 1023516630 | Leah Reed | Occupational Therapist | 13800 Bon Secours Dr, Midlothian, VA 23114 | 2018-01-29 |
| 1689122012 | Momentum Counseling and Wellness LLC | Social Worker | 431 Walton Park Road, Midlothian, VA 23114 | 2016-09-14 |
| 1750765996 | Arlene Roper | Physical Therapy Assistant | 1700 Redbourne Ct, Apt 101, Midlothian, VA 23114 | 2015-07-17 |
| 1518353937 | Tamaika Floy | Podiatrist | 611 Watkins Centre Pkwy Ste 170, Midlothian, VA 23114 | 2015-04-13 |
| 1760790489 | Markita Wolf | Psychologist | 831 Grove Rd Ste C, Midlothian, VA 23114 | 2010-09-15 |
| 1306153119 | Jacinda Beth Chaisson | Physical Therapist | 13700 St. Francis Blvd., Suite 103, Midlothian, VA 23114 | 2010-09-01 |
| Find all providers in zip 23114 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427670538 | Megan Cone | Specialist | 6236 Willow Glen Rd, Midlothian, VA 23112-2230 | 2020-05-12 |
| 1194104406 | Jessica Kryza | Specialist | 14612 Saint Louis Ave, Midlothian, IL 60445-2936 | 2015-05-20 |
| 1578812145 | Tatyana Anatolia Omdahl | Specialist | 13920 Sagebrook Rd, Midlothian, VA 23112-4228 | 2012-08-29 |
| 1336398759 | Caryn M. Masterson | Specialist | 5105 Margaret Curtis Ln, Midlothian, IL 60445-1586 | 2008-09-10 |
| 1467576249 | Chippenham & Johnston Willis Sports Medicine, LLC | Specialist | 5309 Commonwealth Centre Parkway, Suite 100, Midlothian, VA 23112 | 2007-03-19 |
| 1366534588 | Virginia Family Physicians P C | Specialist | 2367 Colony Crossing Place., Midlothian, VA 23112 | 2006-09-28 |
| 1275631152 | Ronadl Halford Patterson | Specialist | 14411 Clipper Cove Court, Midlothian, VI 23112 | 2006-09-21 |
| 1629175823 | Virginia Physicians, Inc | Specialist | 3000 Water Cove Rd, Midlothian, VA 23112-3982 | 2006-09-20 |
| 1932155504 | Parul D. Little | Specialist | 5955 Harbour Park Dr, Midlothian, VA 23112-2163 | 2006-05-25 |
| 1649238387 | Edward M Leaton | Specialist | 14355 Sommerville Ct, Midlothian, VA 23113-6837 | 2006-05-03 |
| Find all providers in MIDLOTHIAN | ||||
| City | MIDLOTHIAN |
| Zip Code | 23114 |
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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.