WARREN DOUGLAS GIBSON


Address: 1629 Highway 544, Conway, SC 29526-8452
Phone: 8433477281

WARREN DOUGLAS GIBSON (NPI# 1528031101) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1528031101
Entity Type Individual
Full Name WARREN DOUGLAS GIBSON
Practice Address 1629 Highway 544
Conway
SC 29526-8452
Practice Telephone 8433477281
Practice Fax Number 8433479785
Mailing Telephone 8433477281
Mailing Fax Number 8433479785
Enumeration Date 2006-02-13
Last Update Date 2007-11-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 335E00000X Prosthetic/Orthotic Supplier Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
SC DE2045 05

Other Providers WARREN GIBSON

NPI Name Taxonomy Address Enumeration
1447300421 Warren Carrico Gibson Speech-Language Pathologist 6508 Gunn Highway, Independent Living Inc, Tampa, FL 33625-4022 2007-01-11

Office Location

Street Address 1629 HIGHWAY 544
City CONWAY
State SC
Zip Code 29526-8452

Providers in the same location

NPI Name Taxonomy Address Enumeration
1508057779 Warren D. Gibson Prosthetic/Orthotic Supplier 1629 Highway 544, Conway, SC 29526-8452 2007-08-05

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1457975237 Terri L Champion Massage Therapist 172 Waccamaw Medical Park Court, Conway, SC 29526 2020-06-08
1689204398 Alayna Defalco Clinical Exercise Physiologist 1320 501 Business, Unit E, Conway, SC 29526 2020-01-22
1124672662 Proxsys Rx - Sc, LLC Pharmacy 300 Singelton Ridge Road, Conway, SC 29526 2019-08-01
1598227431 Surgery Center of Conway Inc Clinic/Center 1405 Main Street, Conway, SC 29526 2019-04-01
1801374962 Trevor James Hess Specialist/Technologist 905 One Landon Loop, Conway, SC 29526 2018-08-01
1851800817 Katherine Ann Nimphius Behavioral Analyst 105 Timberline Dr, Conway, SC 29526 2017-09-21
1922544253 William Houck Specialist/Technologist 925 One Landon Loop, Conway, SC 29526 2017-01-10
1952857278 Courtney Jeanette Smith Counselor 164 Waccamaw Medical Park Dr., Conway, SC 29526 2016-08-28
1336502632 Jebediah S. Christy, D.d.s - Conway, Pllc Dentist 2756 Church St, Conway, SC 29526 2016-04-04
1447615208 Abl Enterprises, LLC Optometrist 113 Citadel Drive, Conway, SC 29526 2015-12-22
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Taxonomy Information

Taxonomy Code 335E00000X
Grouping Suppliers
Classification Prosthetic/Orthotic Supplier

Taxonomy Definition

An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1134669138 Hortons Orthotic Lab, Inc. Prosthetic/Orthotic Supplier 635 Dave Ward, Suite 103, Conway, AR 72034 2017-02-24
1245575570 Snell Prosthetic & Orthotic Laboratory Prosthetic/Orthotic Supplier 2915 Dave Ward Dr Ste 11, Conway, AR 72034-9375 2012-11-27
1619192531 New Hope Prosthetics & Orthodics Inc Prosthetic/Orthotic Supplier 2405 Dave Ward Dr, Conway, AR 72034 2007-04-16
1508057779 Warren D. Gibson Prosthetic/Orthotic Supplier 1629 Highway 544, Conway, SC 29526-8452 2007-08-05

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1366056483 C Marie Aesthetics Prosthetic/Orthotic Supplier 41f Goethe Rd, Bluffton, SC 29910-6001 2020-09-04
1124631056 Dynesha Thomas Prosthetic/Orthotic Supplier 525 3rd Loop Rd Apt H, Florence, SC 29505-4706 2020-08-29
1427667591 Ashleigha Rogers Prosthetic/Orthotic Supplier 324 Manning Ave, Sumter, SC 29150-5763 2020-07-24
1285252940 Carolina Orthotics and Prosthetics LLC Prosthetic/Orthotic Supplier 708 Lafayette Ave, Ste 4, Camden, SC 29020 2020-07-09
1427676386 Carolina Orthotics and Prosthetics LLC Prosthetic/Orthotic Supplier 1108 N Jefferies Blvd, Walterboro, SC 29488-2730 2020-07-08
1881219616 Glammed Studio Prosthetic/Orthotic Supplier 47 Bristlecone Ln, Elgin, SC 29045-9584 2020-06-08
1497374557 Image Obsession LLC Prosthetic/Orthotic Supplier 1855 E Main St # Sr03, Spartanburg, SC 29307-2309 2020-04-09
1598394926 Hair Replacement Systems and Hairstyles Usa Inc. Prosthetic/Orthotic Supplier 105 E Butler Rd Ste C, Mauldin, SC 29662-2100 2020-04-07
1851958284 Richard A Katenhusen Prosthetic/Orthotic Supplier 181 Bluffton Rd Ste B104, Bluffton, SC 29910-6218 2019-05-21
1699261917 Carolina Bone & Joint Pa Prosthetic/Orthotic Supplier 1 Wellness Blvd Ste 104, Irmo, SC 29063-2872 2018-07-10
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Competitor

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City CONWAY
Zip Code 29526

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Dataset Information

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.

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