DR. JAMES J GIBBONS (NPI# 1477558310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477558310 |
| Entity Type | Individual |
| Full Name | DR. JAMES J GIBBONS |
| Credential | M.D. |
| Practice Address |
1070 Old Des Peres Rd Saint Louis MO 63131-1865 |
| Mailing Address |
339 Consort Dr Ballwin MO 63011-4439 |
| Practice Telephone | 3148218644 |
| Practice Fax Number | 3148214858 |
| Mailing Telephone | 6363869224 |
| Mailing Fax Number | 6363867679 |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2011-08-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
R9D30 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 202056826 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689298671 | James Gibbons | Respiratory Therapist, Registered | 1817 Fleegle Rd, Central City, PA 15926-7401 | 2020-06-04 |
| 1659402592 | James M Gibbons | Orthopaedic Surgery | 7 Wainwright Rd, Unit #106, Winchester, MA 01890-2300 | 2007-03-09 |
| 1497227029 | James Gibbons | Counselor | 1605 Cedar St, Muscatine, IA 52761-3426 | 2018-12-20 |
| 1336357995 | James R Gibbons | Dentist | 411 N Larchmont Blvd, Los Angeles, CA 90004-0313 | 2007-05-18 |
| Street Address |
1070 OLD DES PERES RD |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63131-1865 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578197505 | Julie A Boschert | Registered Nurse | 1070 Old Des Peres Rd, Saint Louis, MO 63131-1865 | 2020-02-28 |
| 1699916247 | Western Anesthesiology Assocaiates, Inc. | Pain Medicine | 1070 Old Des Peres Rd, Saint Louis, MO 63131-1865 | 2009-03-11 |
| 1962680264 | Elizabeth Abernathy | Nurse Practitioner | 1070 Old Des Peres Rd, Saint Louis, MO 63131-1865 | 2008-02-08 |
| 1659377687 | Stephen D Schmidt | Anesthesiology | 1070 Old Des Peres Rd, Saint Louis, MO 63131-1865 | 2005-06-23 |
| 1568468593 | Brian D Smith | Anesthesiology | 1070 Old Des Peres Rd, Saint Louis, MO 63131-1865 | 2005-06-23 |
| 1386640316 | Gregory H Smith | Anesthesiology | 1070 Old Des Peres Rd, Saint Louis, MO 63131-1865 | 2005-06-23 |
| 1336144187 | Todd D Bailey | Anesthesiology | 1070 Old Des Peres Rd, Saint Louis, MO 63131-1865 | 2005-06-17 |
| 1194720037 | Thomas G Johans | Anesthesiology | 1070 Old Des Peres Rd, Saint Louis, MO 63131-1865 | 2005-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568097954 | Avalcare Inc | Pharmacy | 10431 Clayton Rd, Saint Louis, MO 63131 | 2020-03-06 |
| 1891331369 | Life Clinic of Mo Dc PC | Chiropractor | 2051 South Lindbergh Blvd, Frontenac, MO 63131 | 2019-11-20 |
| 1447892542 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 30 S Lindbergh Blvd, Saint Louis, MO 63131 | 2019-10-10 |
| 1336797026 | Justa Davis | Dietitian, Registered | 3015 North Ballas, Saint Louis, MO 63131 | 2019-08-27 |
| 1730695362 | Curators of The University of Missouri | Psychologist | 12837 Flushing Meadows Drive, Sutie 220, Town and Country, MO 63131 | 2017-12-19 |
| 1770012031 | Danielle Marie Hargate | Specialist/Technologist | 732 Timber Trail, Frontenac, MO 63131 | 2017-06-08 |
| 1285087429 | Kathryn Parker | Internal Medicine | 1000 Des Peres Rd Ste 300, Saint Louis, MO 63131 | 2016-07-22 |
| 1437524360 | Julie Ann Godefroid | Nurse Practitioner | 1010 Old Des Peres Road, St. Louis, MO 63131 | 2015-12-03 |
| 1073982435 | Rebecca Baum Rainbolt | Social Worker | 12210 Clayton Rd, Saint Louis, MO 63131 | 2015-09-16 |
| 1518217322 | Advanced Anesthesia and Pain Management, LLC | Anesthesiology | 12805 Topping Woods Estate Drive, St. Louis, MO 63131 | 2012-09-19 |
| Find all providers in zip 63131 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457655748 | Melrich Inc | Anesthesiology | 625 Cannonbury Dr, Saint Louis, MO 63119-5312 | 2010-12-31 |
| 1972651578 | Advanced Pain Specialists, Inc. | Anesthesiology | 7510 Big Bend Blvd, Saint Louis, MO 63119-2104 | 2007-01-08 |
| 1831194935 | Hugh G Berry | Anesthesiology | 1031 Bellevue Ave Ste 310, Saint Louis, MO 63117-1857 | 2005-06-15 |
| 1780689182 | Robert W Allen | Anesthesiology | 615 S New Ballas Rd, Saint Louis, MO 63141-8221 | 2005-06-14 |
| 1295189082 | Midwest Anesthesia Providers S.c | Anesthesiology | 11133 Dunn Rd, Saint Louis, MO 63136-6163 | 2016-04-18 |
| 1467834820 | Matthew Stringfellow Sanzalone | Anesthesiology | 4921 Parkview Pl, Ste 14c, Saint Louis, MO 63110-1032 | 2015-06-22 |
| 1780065078 | Loc Vinh Thang | Anesthesiology | 4921 Parkview Pl, Ste 14c, Saint Louis, MO 63110-1032 | 2015-06-12 |
| 1891049979 | Regeneration Orthopedics, LLC | Anesthesiology | 12348 Old Tesson Rd, Ste120, Saint Louis, MO 63128-2251 | 2012-10-29 |
| 1902161805 | Kathleen Williams Meacham | Anesthesiology | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2012-07-07 |
| 1891092508 | St Louis University | Anesthesiology | 3635 Vista Ave, Saint Louis, MO 63110-2539 | 2011-02-15 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63131 |
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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.