DR. IRIS C GIBBS (NPI# 1407994429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407994429 |
| Entity Type | Individual |
| Full Name | DR. IRIS C GIBBS |
| Credential | MD |
| Practice Address |
875 Blake Wilbur Dr Mc 5847 Palo Alto CA 94304-2205 |
| Mailing Address |
875 Blake Wilbur Drive Room G222a Stanford CA 94305-5847 |
| Practice Telephone | 6507236171 |
| Practice Fax Number | 6507258231 |
| Mailing Telephone | 6507236171 |
| Mailing Fax Number | 6507258231 |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2013-12-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
A61589 | CA | Allopathic & Osteopathic Physicians |
| N | 2085R0203X |
Radiology Specialization: Therapeutic Radiology |
A61589 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A615890 | 05 |
| Street Address |
875 BLAKE WILBUR DR MC 5847 |
| City | PALO ALTO |
| State | CA |
| Zip Code | 94304-2205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831127646 | Kristan Jan Wheeler | Physician Assistant | 875 Blake Wilbur Dr, Mail Code 5826, Palo Alto, CA 94304-2205 | 2006-06-29 |
| 1720699028 | Tiffany Conelia Brown | Registered Nurse | 875 Blake Wilbur Dr, Palo Alto, CA 94304-2205 | 2020-08-11 |
| 1417578550 | Anna Wilcoxon | Registered Nurse | 875 Blake Wilbur Dr, Palo Alto, CA 94304-2205 | 2020-04-29 |
| 1831732577 | Stephen Siu | Physician Assistant | 875 Blake Wilbur Dr, Palo Alto, CA 94304-2205 | 2019-10-25 |
| 1417590092 | Brian Lasonde | Internal Medicine | 875 Blake Wilbur Dr, Palo Alto, CA 94304-2205 | 2019-10-25 |
| 1013562065 | Amelia Jones | Physician Assistant | 875 Blake Wilbur Dr, Palo Alto, CA 94304-2205 | 2019-08-07 |
| 1164077665 | Tricia S Marcos | Nurse Practitioner | 875 Blake Wilbur Dr, Palo Alto, CA 94304-2205 | 2019-08-02 |
| 1942762430 | Hyunsoo Joshua No | Student in an Organized Health Care Education/Training Program | 875 Blake Wilbur Dr, Palo Alto, CA 94304-2205 | 2019-04-03 |
| 1043783830 | Heather Bernice Boulting | Nurse Practitioner | 875 Blake Wilbur Dr, Palo Alto, CA 94304-2205 | 2019-01-04 |
| 1184119653 | Noah Kastelowitz-lieberman | Student in an Organized Health Care Education/Training Program | 875 Blake Wilbur Dr, Palo Alto, CA 94304-2205 | 2018-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477170611 | Richard Engdahl | Specialist/Technologist, Other | 820 Quarry Road, Mc1078 Hf006, Palo Alo, CA 94304 | 2020-07-04 |
| 1720603582 | Lily Wenya Zhou | Psychiatry & Neurology | 780 Welch Road, Suite 350, Stanford Stroke Center, Palo Alto, CA 94304 | 2020-06-08 |
| 1033738521 | Perry Seo Choi | Student in an Organized Health Care Education/Training Program | Dept of Cardiothoracic Surgery, Falk Building, 870 Quarry Rd, Palo Alto, CA 94304 | 2020-04-14 |
| 1073150355 | Tara Mcdermott | Nurse Practitioner | 500 Pasteur Drive, Cardiovascular Intensive Care Unit, Palo Alto, CA 94304 | 2019-12-05 |
| 1811542723 | Mark Henry Chubb | Pediatrics | Stanford Children's Health, 725 Welch Road, Palo Alto, CA 94304 | 2019-08-07 |
| 1194285114 | Cora Steindl | Nurse Practitioner | 300 Pasteur Drive Rm H2512, Stanford, CA 94304 | 2019-03-25 |
| 1407333057 | Deborah Menet Landi | Social Worker | Lucile Packard Children's Hospital Stanford, 725 Welch, Mc 5933, Palo Alto, CA 94304 | 2018-07-26 |
| 1982100798 | Jonathan Hootman | Student in an Organized Health Care Education/Training Program | 900 Quarry Road Extension, Palo Alto, CA 94304 | 2018-04-02 |
| 1093234254 | Adam C Maclellan | Psychiatry & Neurology | Stanford Stroke Center, 780 Welch Road, Suite 350, Palo Alto, CA 94304 | 2017-09-19 |
| 1194248153 | Chanel Beaudoin Cloutier | Plastic Surgery | 770 Welch Road, Suite 400, Palo Alto, CA 94304 | 2017-07-21 |
| Find all providers in zip 94304 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386900249 | Hailey Hye-in Choi | Radiology | 300 Pasteur Dr Rm H1307, Palo Alto, CA 94304-2206 | 2012-04-05 |
| 1154557536 | Stanley Chism | Radiology | 1635 Madrono Ave, Palo Alto, CA 94306-1018 | 2009-05-30 |
| 1396989711 | David Benjamin Shultz | Radiology | 837 Cowper Street, Apartment E, Palo Alto, CA 94301-2817 | 2009-04-29 |
| 1215431473 | Melissa Afton Frick | Radiology | 875 Blake Wilbur Dr, Palo Alto, CA 94304 | 2018-03-22 |
| 1518385251 | Alexander Li-che Chin | Radiology | 875 Blake Wilbur Dr, Palo Alto, CA 94304-2205 | 2014-03-31 |
| 1932475902 | Erqi Pollom | Radiology | 875 Blake Wilbur Dr, Palo Alto, CA 94304-2205 | 2012-03-23 |
| 1407172687 | Michael Gensheimer | Radiology | 875 Blake Wilbur Dr, Mc 5847, Palo Alto, CA 94304-2205 | 2010-04-14 |
| 1972791671 | Daniel Carl Schiffner | Radiology | 795 El Camino Real, Palo Alto, CA 94301-2302 | 2007-10-09 |
| 1912034240 | Susan Jane Knox | Radiology | 875 Blake Wilbur Dr, Dept. Radiation Oncology - Cancer Center, Palo Alto, CA 94304-2205 | 2007-02-27 |
| 1780724427 | Don Robert Goffinet | Radiology | 875 Blake Wilbur Dr, Stanford Cancer Center Room Cc-g220a, Palo Alto, CA 94304-2205 | 2007-02-08 |
| Find all providers in PALO ALTO | ||||
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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.