ANDREW KEVIN GIBSON (NPI# 1346211463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346211463 |
| Entity Type | Individual |
| Full Name | ANDREW KEVIN GIBSON |
| Credential | PA-C |
| Practice Address |
2 Shircliff Way Suite 500 Jacksonville FL 32204-4753 |
| Mailing Address |
11945 San Jose Blvd Bldg 300 Jacksonville FL 32223-1613 |
| Practice Telephone | 9043898861 |
| Practice Fax Number | 9043895820 |
| Mailing Telephone | 9043961725 |
| Mailing Fax Number | 9043991717 |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2014-02-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA 2492 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 290731300 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083108187 | Andrew Scott Gibson | Psychologist | 11 N Irvine St Ste 6, Greenville, SC 29601-4902 | 2018-06-21 |
| 1053824649 | Andrew R Gibson | Military Health Care Provider | Evans Branch Health Clinic, Fpo, AP 96380-8401 | 2017-11-06 |
| 1316334519 | Andrew Gibson | Pharmacist | 104 Carleton Rd, Wallingford, PA 19086-6116 | 2015-04-25 |
| 1346650785 | Andrew C Gibson | Student in an Organized Health Care Education/Training Program | 7017 Hawks Hill Ln, Mechanicsville, VA 23111-4623 | 2014-05-07 |
| 1548224959 | Andrew Bates Gibson IIi | Specialist/Technologist | 2000 North Parkway, Memphis, TN 38112-1690 | 2006-04-13 |
| 1215572086 | Andrew C Gibson | Physician Assistant | 201 Pennsylvania Pkwy Ste 100, Indianapolis, IN 46280-1393 | 2019-11-15 |
| 1538674965 | Andrew Gibson | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2017-12-07 |
| 1336685015 | Andrew Gibson | Physical Therapist | 850 43rd Ave, Suite 100, Moline, IL 61265-8401 | 2017-01-18 |
| 1023463056 | Andrew Lee Gibson | Emergency Medicine | 400 N State of Franklin Rd, Johnson City, TN 37604-6035 | 2016-04-27 |
| 1114319670 | Andrew Gibson | Physical Therapist | 2222 E Highland Ave, 300, Phoenix, AZ 85016-4872 | 2015-02-20 |
| Street Address |
2 SHIRCLIFF WAY SUITE 500 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32204-4753 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972508356 | Suprith Badarinath | Internal Medicine | 2 Shircliff Way, Ste 800, Jacksonville, FL 32204-4751 | 2005-06-14 |
| 1841656105 | Rita Marie Border | Nurse Practitioner | 2 Shircliff Way, #300, Jacksonville, FL 32204-4753 | 2016-01-01 |
| 1295128817 | Alexandra Eleanor Michaelis | Nurse Practitioner | 2 Shircliff Way, Suite 700 Depaul Bldg., Jacksonville, FL 32204-4763 | 2015-03-05 |
| 1538558028 | Carole Faria | Registered Nurse | 2 Shircliff Way, Suite 900, Jacksonville, FL 32204-4753 | 2015-01-21 |
| 1609265107 | Teresa Braddy | Registered Nurse | 2 Shircliff Way, Suite 900, Jacksonville, FL 32204-4753 | 2015-01-21 |
| 1235533829 | Heekin Clinic LLC | Orthopaedic Surgery | 2 Shircliff Way, Ste 605 Depaul Building, Jacksonville, FL 32204-4753 | 2014-10-10 |
| 1851710404 | Juan Chique Figueroa | Internal Medicine | 2 Shircliff Way, Suite 700 Depaul Bldg., Jacksonville, FL 32204 | 2014-04-10 |
| 1295151348 | Harris, Wilcox & Donovan Pa | Ophthalmology | 2 Shircliff Way, Suite 120, Jacksonville, FL 32204-4753 | 2014-03-13 |
| 1568800613 | Sara Marie Preston | Nurse Practitioner | 2 Shircliff Way, Ste 700 Depaul Bldg., Jacksonville, FL 32204-4763 | 2013-06-11 |
| 1851735187 | Lori Elizabeth Jones-taylor | Pharmacist | 2 Shircliff Way, Jacksonville, FL 32204-4753 | 2013-04-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437719853 | North Florida Surgeons, Pa | Orthopaedic Surgery | 2 Shirlciff Ways, Suite 300, Jacksonville, FL 32204 | 2019-06-18 |
| 1770043531 | Manuel Viado Rosas | Physical Therapist | Bold City Therapy and Wellness LLC, 2054 Park Street, Jacksonville, FL 32204 | 2019-03-20 |
| 1255805172 | Tracie Nickole Singh | Marriage & Family Therapist | 1125 W Beaver Street, Suite 205, Jacksonville, FL 32204 | 2019-01-14 |
| 1427548544 | Bold City Therapy and Wellness LLC | Clinic/Center | 2054 Park Street, Jacksonville, FL 32204 | 2018-05-14 |
| 1356883078 | Lcn Enterprise, LLC | Case Manager/Care Coordinator | 1225 W Beaver St Ste 106, Jacksonville, FL 32204 | 2016-11-11 |
| 1073065082 | Prosser and Prosser LLC | Non-emergency Medical Transport (VAN) | 2120 Ernest St, Jacksonville, FL 32204 | 2016-10-26 |
| 1336529817 | Nader Daoud | Internal Medicine | 1 Shircliffway, Jacksonville, FL 32204 | 2015-06-01 |
| 1194119214 | Benjamin James Dionne | Internal Medicine | 2 Shircliff Way Ste 400, Jacksonville, FL 32204 | 2015-03-26 |
| 1598187932 | Jamara Stephens | Counselor | 1225 W Beaver St Ste 205, Jacksonville, FL 32204 | 2014-01-18 |
| 1154743961 | Kathleen Jasper | Nurse Anesthetist, Certified Registered | 2165 Herschel Street, Jacksonville, FL 32204 | 2014-01-14 |
| Find all providers in zip 32204 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255858650 | John Matthew Dumas | Physician Assistant | 3640 Newcomb Rd, Jacksonville, FL 32218-1510 | 2017-08-25 |
| 1932432093 | Andrew Gibson | Physician Assistant | 12869 Dunes Ct, Jacksonville, FL 32225-3889 | 2009-09-08 |
| 1871556340 | Kevin Michael Cofran | Physician Assistant | 1838 Mcintosh Pl, Jacksonville, FL 32210-2224 | 2006-04-07 |
| 1811950272 | Jaclyn Michelle Tyo | Physician Assistant | 2627 Riverside Ave Ste 300, Jacksonville, FL 32204-4712 | 2006-04-07 |
| 1912969015 | Wendy Elizabeth Ashby | Physician Assistant | 3639 Darnall Pl, Jacksonville, FL 32217-4215 | 2006-04-04 |
| 1407839616 | Jennifer Renee Wren | Physician Assistant | 1820 Barrs St, Suite 701, Jacksonville, FL 32204-4742 | 2005-11-22 |
| 1962403949 | Katherine Elizabeth Stenberg Curry | Physician Assistant | 841 Prudential Dr, Ufjax - Pediatric Cardiothoracic Surgery, Jacksonville, FL 32207-8329 | 2005-08-02 |
| 1346848173 | Marisa Elaine Long | Physician Assistant | 836 Prudential Dr Ste 1001, Jacksonville, FL 32207-8337 | 2020-10-14 |
| 1235775438 | Jacqueline M Evans | Physician Assistant | 2 Shircliff Way Ste 605, Jacksonville, FL 32204-4762 | 2019-11-22 |
| 1992363733 | Lindsey Allison Baroch | Physician Assistant | 3627 University Blvd S Ste 550, Jacksonville, FL 32216-7401 | 2019-06-05 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32204 |
Please comment or provide details below to improve the information on ANDREW KEVIN GIBSON.
| 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.