GORDON F GIBBS (NPI# 1417929373) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417929373 |
| Entity Type | Individual |
| Full Name | GORDON F GIBBS |
| Credential | M.D. |
| Practice Address |
115 E Riverwalk Unit 200 Pueblo CO 81003-3308 |
| Mailing Address |
Po Box 7702 Loveland CO 80537-0702 |
| Practice Telephone | 7195427891 |
| Mailing Telephone | 7195438346 |
| Mailing Fax Number | 7195451829 |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2020-10-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
45004 | CO | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
43153 | MN | Allopathic & Osteopathic Physicians |
| Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
45004 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 852927200 | 05 | |
| CO | 08179263 | 05 |
| Street Address |
115 E RIVERWALK UNIT 200 |
| City | PUEBLO |
| State | CO |
| Zip Code | 81003-3308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659745164 | Jennifer Lea Medina | Nurse Practitioner | 115 E Riverwalk, Unit 200, Pueblo, CO 81003-3308 | 2015-11-20 |
| 1992900781 | Timothy Joseph Cawlfield | Family Medicine | 115 E Riverwalk, Unit 200, Pueblo, CO 81003-3308 | 2007-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164042016 | Sunil Kumar | Student in an Organized Health Care Education/Training Program | Parkview Adult Medicine Clinic, 311 West 14th Street, Pueblo, CO 81003 | 2020-04-21 |
| 1497382303 | Pueblo Family Dentistry Pllc | Dentist | 701 N Grand Avenue, Suite B, Pueblo, CO 81003 | 2020-03-23 |
| 1023654241 | Elmer A. Villalon, Dmd, LLC | Clinic/Center | 1225 North Main Street, #207, Pueblo, CO 81003 | 2019-11-22 |
| 1518434349 | Mariam Rahim | Internal Medicine | Parkview Adult Medicine Clinic, 311 West 14th Street, Pueblo, CO 81003 | 2018-10-30 |
| 1003308222 | Julia Mcneice | Internal Medicine | Parkview Medial Center, Parkveiw Adult Medicine Clinic, 311 West 14th Street, Pueblo, CO 81003 | 2018-06-04 |
| 1689164857 | Jessica Sels | Internal Medicine | Parkview Medical Center Adult Medicine Clinic, 311 W 14th St, Pueblo, CO 81003 | 2018-05-14 |
| 1700313459 | Allison Vigil | Occupational Therapist | 1600 W. 24th St, Pueblo, CO 81003 | 2017-05-12 |
| 1245682020 | Paul S Bongat | Internal Medicine | 411 W. 14th St., Parkview Adult Medicine Clinic, Pueblo, CO 81003 | 2016-07-06 |
| 1013368596 | Daniel R Long | Internal Medicine | 411 West 14th Street, Pueblo, CO 81003 | 2016-06-27 |
| 1396195665 | Parkview Medical Center | General Acute Care Hospital | 411 W. 14th St, Pueblo, CO 81003 | 2016-06-17 |
| Find all providers in zip 81003 | ||||
| Taxonomy Code | 2085R0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Vascular & Interventional Radiology |
| A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457685398 | Rocky Mountain Vein Institute Pllc | Radiology | 115 E Riverwalk Unit 200, Pueblo, CO 81003-3320 | 2009-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801496534 | Rocky Mountain Vein Institute, Pllc | Radiology | 300 Plaza Dr Ste 275, Highlands Ranch, CO 80129-2310 | 2020-10-30 |
| 1194325811 | Rocky Mountain Vein Institute, Pllc | Radiology | 175 S Union Blvd Ste 200, Colorado Springs, CO 80910-3117 | 2020-10-30 |
| 1447850177 | Rocky Mountain Vein Institute, Pllc | Radiology | 1915 Wilmington Dr Unit 100, Fort Collins, CO 80528-6101 | 2020-10-30 |
| 1992303218 | Rocky Mountain Vein Institute, Pllc | Radiology | 109 Latigo Ln Ste D, Canon City, CO 81212-8113 | 2020-10-09 |
| 1831354539 | Aaron C Kovaleski | Radiology | 8080 Park Meadows Dr Ste 150, Lone Tree, CO 80124-2566 | 2008-07-22 |
| 1295795169 | Robert P Allen | Radiology | 210 University Blvd, Ste 102, Radiology Specialists of Denver, Denver, CO 80206 | 2006-03-24 |
| 1942290721 | Bryan Cortis Kramer | Radiology | 1601 E. 19th Ave #3950, Denver, CO 80218 | 2005-10-24 |
| 1982691440 | Timo M Quickert | Radiology | 4848 Thompson Pkwy, Suite 300, Johnstown, CO 80534-6433 | 2005-09-30 |
| 1013518471 | Rocky Mountain Vein Institute, Pllc | Radiology | 105 Edwards Village Blvd, Unit C-202, Edwards, CO 81632-3211 | 2020-11-03 |
| 1366042095 | Rocky Mountain Vein Institute, Pllc | Radiology | 11150 Huron St Ste 212, Northglenn, CO 80234-4378 | 2020-10-30 |
| Find all providers with the same taxonomy | ||||
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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.