JONATHAN BRADFORD GIBSON (NPI# 1376833046) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376833046 |
| Entity Type | Individual |
| Full Name | JONATHAN BRADFORD GIBSON |
| Credential | M.D. |
| Practice Address |
9450 S 1300 E Sandy UT 84094-5555 |
| Mailing Address |
Po Box 27128 Salt Lake City UT 84127-0128 |
| Practice Telephone | 8015012160 |
| Enumeration Date | 2011-04-14 |
| Last Update Date | 2018-10-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 9332554-1205 | UT | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2600 Sixth St Sw, Canton, OH 447101702 | 3303636235 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407204993 | Jonathan David Gibson | Technician, Other | 43 Jean Ct, Essexville, MI 48732-9407 | 2016-05-25 |
| 1417495771 | Jonathan Gibson | Community Health Worker | 282 Sheppard St, Suite B, Minden, LA 71055-4205 | 2017-02-07 |
| 1245686161 | Jonathan Curtis Gibson | Nurse Practitioner | 330 E Beltline Ave Ne Ste 100, Grand Rapids, MI 49506-1267 | 2016-05-10 |
| 1386009363 | Jonathan Gibson | Nurse Anesthetist, Certified Registered | 3901 S 7th St, Terre Haute, IN 47802-5709 | 2015-12-17 |
| 1740579820 | Jonathan Thomas Gibson | Family Medicine | 1247 Rickert Dr, Suite 201, Naperville, IL 60540-1008 | 2011-03-29 |
| 1588841639 | Jonathan Sean Gibson | Internal Medicine | 20 Glenlake Pkwy, Glenlake Medical Office, Atlanta, GA 30328 | 2008-01-30 |
| Street Address |
9450 S 1300 E |
| City | SANDY |
| State | UT |
| Zip Code | 84094-5555 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922091230 | Charles Darrell Katz | Specialist | 9450 S 1300 E, Sandy, UT 84094-5555 | 2005-08-23 |
| 1861951840 | Jacob Korish | Physical Therapist | 9450 S 1300 E, Sandy, UT 84094-5555 | 2019-03-18 |
| 1720584147 | Leigh Simpson | Registered Nurse | 9450 S 1300 E, Sandy, UT 84094 | 2018-04-04 |
| 1720594096 | Rita Gerarda Schmidt | Registered Nurse | 9450 S 1300 E, Sandy, UT 84094-5555 | 2017-12-21 |
| 1750891552 | Teran Mccormick | Physician Assistant | 9450 S 1300 E, Sandy, UT 84094-5555 | 2017-10-05 |
| 1497284681 | Ihc Health Services Inc | Family Medicine | 9450 S 1300 E, Sandy, UT 84094-5555 | 2017-06-09 |
| 1659806529 | Ihc Health Services Inc | Podiatrist | 9450 S 1300 E, Sandy, UT 84094-5555 | 2017-04-27 |
| 1720433006 | Carla Suarez | Pediatrics | 9450 S 1300 E, Sandy, UT 84094 | 2016-04-25 |
| 1194184127 | Jeffery Dee Speth Jr. | Pharmacist | 9450 S 1300 E, Sandy, UT 84094-5555 | 2016-02-18 |
| 1265817688 | Travis Cook | Physician Assistant | 9450 S 1300 E, 120, Sandy, UT 84094-5555 | 2015-07-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649754508 | Hollie J Wharton | Advanced Practice Midwife | 9450 S. 1300 E., Sandy, UT 84094 | 2018-09-18 |
| 1417306804 | Sarah Scheibe | Counselor | 1123 E Tulane Cir, Sandy, UT 84094 | 2016-06-07 |
| 1457771313 | Zhenhao Liu | Internal Medicine | 11333 S 1000 E Ste 100, Sandy, UT 84094 | 2014-04-18 |
| 1770919714 | Bojan Jurosevic | Physical Therapist | 7940 South 1300 East, Sandy, UT 84094 | 2013-09-23 |
| 1104259464 | Ryan Blick | Marriage & Family Therapist | 833 East 9400 South, Sandy, UT 84094 | 2013-08-09 |
| 1780027821 | Lauren Coyle | Obstetrics & Gynecology | 9600 S 1300 E Ste 308, Sandy, UT 84094 | 2013-04-08 |
| 1285971697 | Robert W Later Md PC | Specialist | 9600 S 1300 E Suite 302, Sandy, UT 84094 | 2013-01-07 |
| 1306149679 | Premier Home Health, LLC | Home Health | 978 Larkspur Dr, Sandy, UT 84094 | 2010-12-08 |
| 1760704753 | Altaview Hospital | General Acute Care Hospital | 9660 South 13th East, Sandy, UT 84094 | 2010-02-18 |
| 1750518676 | Julie Christensen | Social Worker | 833 E 9400 S, Sandy, UT 84094 | 2009-06-18 |
| Find all providers in zip 84094 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| 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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780027821 | Lauren Coyle | Obstetrics & Gynecology | 9600 S 1300 E Ste 308, Sandy, UT 84094 | 2013-04-08 |
| 1750684676 | Gregory C. Tanner, M.d. P.C. | Obstetrics & Gynecology | 9600 S 1300 E Ste 305, Sandy, UT 84094-3767 | 2010-12-15 |
| 1841250602 | Leon W Hansen | Obstetrics & Gynecology | 9600 S 1300 E, Suite 300, Sandy, UT 84094-3766 | 2006-03-24 |
| 1275897324 | Ihc Health Services Inc | Obstetrics & Gynecology | 9660 S 1300 E, Ste 310, Sandy, UT 84094-3762 | 2012-07-03 |
| 1538463187 | Layne A Smith, Md PC | Obstetrics & Gynecology | 9600 S 1300 E Ste 305, Sandy, UT 84094-3767 | 2010-12-22 |
| 1558676957 | Erickson Surgical Consulting Pllc | Obstetrics & Gynecology | 10011 Centennial Pkwy, Suite 150, Sandy, UT 84070-4156 | 2010-08-10 |
| 1992835268 | Ihc Health Services Inc | Obstetrics & Gynecology | 9600 S 1300 E, #308, Sandy, UT 84094-3766 | 2007-03-06 |
| 1134254220 | Ihc Health Services Inc | Obstetrics & Gynecology | 9720 S 1300 E, #e230, Sandy, UT 84094-3712 | 2007-02-22 |
| 1528121779 | Alicia Tabish Jones | Obstetrics & Gynecology | 9600 S 1300 E, Suite 300, Sandy, UT 84094-3766 | 2006-12-19 |
| 1588767081 | Kenneth S Larsen | Obstetrics & Gynecology | 9600 S 1300 E, #308, Sandy, UT 84094-3766 | 2006-09-07 |
| Find all providers in SANDY | ||||
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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.