JOHN GIBBON (NPI# 1518501667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518501667 |
| Entity Type | Individual |
| Full Name | JOHN GIBBON |
| Practice Address |
432 Dunford Dr Burlington WI 53105-2319 |
| Practice Telephone | 8477728794 |
| Mailing Telephone | 8477728794 |
| Enumeration Date | 2019-11-01 |
| Last Update Date | 2019-11-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
432 DUNFORD DR |
| City | BURLINGTON |
| State | WI |
| Zip Code | 53105-2319 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720574288 | Wisconsin Pain Management Specialists, LLC | Pain Medicine | 1050 S. Milwaukee Avenue, Suite 102, Burlington, WI 53105 | 2018-07-09 |
| 1952845679 | Jennifer Vozel | Registered Nurse | 40036 Bloomfield Rd, Burlington, WI 53105 | 2016-12-14 |
| 1356884613 | Labadie Family Dentistry, S.c. | Clinic/Center | 5019 Mormon Rd., Burlington, WI 53105 | 2016-11-18 |
| 1043654288 | Maureen Ann Mcnulty | Acupuncturist | 148 East State Street, Suite A, Burlington, WI 53105 | 2013-04-18 |
| 1003166349 | Jessica Robinson | Licensed Practical Nurse | 7656 Highland Ave, Burlington, WI 53105 | 2012-09-13 |
| 1063677334 | Douglas Armin Wild Sr. | Dentist | 2545 Partridge Wds. Ct., Burlington, WI 53105 | 2008-07-25 |
| 1346408945 | William Henry Basil | Dentist | 222 Adams St, Burlington, WI 53105 | 2008-05-30 |
| 1912108689 | Debra Jean Studey Leffelman | Midwife, Lay | 5617 Spring Valley Rd., Burlington, WI 53105 | 2007-05-30 |
| 1215142955 | Michelle Marie Mehring | Licensed Practical Nurse | 541 Kearney Rd, Burlington, WI 53105 | 2007-05-14 |
| 1003982802 | Alan Dean Meike | Chiropractor | 196 W Chestnut Street, Burlington, WI 53105 | 2006-11-27 |
| Find all providers in zip 53105 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386256360 | William Conrad Desjardins | Specialist/Technologist | 20 Manhattan Dr, Burlington, MA 01803-1905 | 2020-08-20 |
| 1023651866 | Andrew John Nadeau | Specialist/Technologist | 192 Park St Unit 1, Burlington, VT 05401-5118 | 2019-10-24 |
| 1861035602 | Barbara Anne Murray Dimaio | Specialist/Technologist | 407 College St Apt 3, Burlington, VT 05401-3459 | 2019-10-24 |
| 1548815855 | Deana Pearson | Specialist/Technologist | 1782 10th Rd, Burlington, KS 66839-9088 | 2019-08-04 |
| 1649834821 | Courtnee Springs | Specialist/Technologist | 5049 Patillo Church Rd, Burlington, NC 27217-7850 | 2019-04-24 |
| 1578040671 | Alanie Jeannette Welch | Specialist/Technologist | 10584 S Nc Highway 62, Burlington, NC 27217-8451 | 2018-07-23 |
| 1528561602 | Zachary W Kelly | Specialist/Technologist | 54 Bailly Dr, Burlington, NJ 08016-4289 | 2018-03-14 |
| 1316449762 | Gabriela Marie Zimbron | Specialist/Technologist | 40 Arlington Ct, Burlington, VT 05408-2501 | 2018-03-01 |
| 1285132795 | Christopher Robinson | Specialist/Technologist | Rowell Building Carrigan Dr, University of Vermont, Burlington, VT 05401-0540 | 2018-01-30 |
| 1457859480 | Kimberly Buckholts | Specialist/Technologist | 28 S Willard St Apt 2, Burlington, VT 05401-3478 | 2018-01-24 |
| Find all providers in BURLINGTON | ||||
| City | BURLINGTON |
| Zip Code | 53105 |
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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.