WENDELL ANDREW GIBBY (NPI# 1487090528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487090528 |
| Entity Type | Individual |
| Full Name | WENDELL ANDREW GIBBY |
| Credential | M.D. |
| Practice Address |
3152 N University Ave Dept Of Provo UT 84604-4745 |
| Mailing Address |
3152 N University Ave Provo UT 84604-4745 |
| Practice Telephone | 8012292002 |
| Practice Fax Number | 2028773288 |
| Mailing Telephone | 8012292002 |
| Enumeration Date | 2013-05-16 |
| Last Update Date | 2019-07-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
9875187-1205 | UT | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992802235 | Wendell A Gibby | Radiology | 3152 N University Ave, Suite 100, Provo, UT 84604-4729 | 2006-09-20 |
| Street Address |
3152 N UNIVERSITY AVE DEPT OF |
| City | PROVO |
| State | UT |
| Zip Code | 84604-4745 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346882107 | Abigail Belle Hardy | Student in an Organized Health Care Education/Training Program | 1190 900 E, Provo, UT 84604 | 2019-10-14 |
| 1386106698 | Sarah Roseman Hunt | Nurse Practitioner | 1055 N 500 W., Suite. 101, Bldg. C, Provo, UT 84604 | 2019-04-04 |
| 1255813325 | Hwigeum Jeong | Specialist/Technologist | Department of Exercise Sciences 106 Sfh Brigham Young, Provo, UT 84604 | 2018-09-05 |
| 1093203044 | Snowcap Smile Studio LLC | Dentist | 2230 N. University Pkwy Ste 8b, Provo, UT 84604 | 2018-04-25 |
| 1407359078 | Ihc Health Services Inc | Clinic/Center | 380 W Bulldog Blvd, Ste 403, Provo, UT 84604 | 2018-03-09 |
| 1902308455 | Afton Leuga | Nurse Practitioner | 395 W Bulldog Blvd., Suite 401, Provo, UT 84604 | 2018-03-01 |
| 1851807333 | Ihc Health Services Inc | Family Medicine | 380 W 1230 N, Ste 602, Provo, UT 84604 | 2017-12-20 |
| 1689180218 | Ihc Health Services Inc | Pediatrics | 395 W Bulldog Blvd Ste 703, Provo, UT 84604 | 2017-12-19 |
| 1396254165 | Nicolas Sorensen | Massage Therapist | 247 West 2230 North #201, Provo, UT 84604 | 2017-09-25 |
| 1437692241 | Cirque Lodge Inc | Substance Abuse Rehabilitation Facility | 3114 E Ida's Road, Sundance, UT 84604 | 2016-11-28 |
| Find all providers in zip 84604 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457688590 | James Edwin Rasband | Radiology | 3757 Pebble Ln, Provo, UT 84604-5267 | 2009-11-11 |
| 1003291568 | Ihc Health Services Inc | Radiology | 1034 N 500 W, Provo, UT 84604-3380 | 2015-07-27 |
| 1750704532 | Notus Imaging and Research Laboratories | Radiology | 280 River Park Dr, Suite 100, Provo, UT 84604-5764 | 2014-01-29 |
| 1750624979 | Conrad Curtis Gibby | Radiology | 3152 N University Ave, Provo, UT 84604-4745 | 2013-04-06 |
| 1982846119 | Benjamin Clark Jacobs | Radiology | 1055 N 500 W, Ste 112, Provo, UT 84604-3305 | 2009-04-02 |
| 1922248202 | Richard Taylor Jackson II | Radiology | 1055 N 500 W, Suite 112, Provo, UT 84604-3305 | 2009-02-26 |
| 1033371760 | Daniel Lyman Corey | Radiology | 1034 N 500 W, Provo, UT 84604-3380 | 2008-06-25 |
| 1316106131 | Fred Jeston Dawson | Radiology | 1055 N 500 W, Suite 112, Provo, UT 84604-3305 | 2008-06-06 |
| 1316113228 | Kimball Lael Christianson | Radiology | 1055 N 500 W, Suite 112, Bldg. C, Provo, UT 84604 | 2008-05-01 |
| 1629266317 | Thomas Briggs Sanders | Radiology | 1034 N 500 W, Provo, UT 84604-3380 | 2007-10-09 |
| Find all providers in PROVO | ||||
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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.