RUSSELL SCOTT GIBSON (NPI# 1538479043) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538479043 |
| Entity Type | Individual |
| Full Name | RUSSELL SCOTT GIBSON |
| Credential | MR |
| Practice Address |
1504 Hardeman Ave Suite B Macon GA 31201-1441 |
| Mailing Address |
117 Dovecot Dr Warner Robins GA 31088-8541 |
| Practice Telephone | 4787453135 |
| Mailing Telephone | 4784424606 |
| Enumeration Date | 2010-10-18 |
| Last Update Date | 2010-10-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2471M1202X |
Radiologic Technologist Specialization: Magnetic Resonance Imaging |
364491 | GA | Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568513075 | Russell Eugene Gibson | Pediatrics | 1405 W Baddour Pkwy Ste 101, Lebanon, TN 37087-2595 | 2007-01-13 |
| 1821048638 | Russell Gibson | Family Medicine | 129 Montgomery Ln, Maryville, TN 37803-5649 | 2006-05-11 |
| 1083642789 | Russell Wayne Gibson | Radiology | 423 E 23rd St, New York, NY 10010-5011 | 2006-06-29 |
| Street Address |
1504 HARDEMAN AVE SUITE B |
| City | MACON |
| State | GA |
| Zip Code | 31201-1441 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730158601 | Physicians Mri Inc | Clinic/Center | 1504 Hardeman Ave, Suite B, Macon, GA 31201 | 2006-03-14 |
| 1679812432 | Ashley Danielle Radford | Radiologic Technologist | 1504 Hardeman Ave, Ste B, Macon, GA 31201-1441 | 2013-02-13 |
| 1083951867 | Tricia Marie Mizell | Radiologic Technologist | 1504 Hardeman Ave, Suite B, Macon, GA 31201-1441 | 2013-01-14 |
| 1114077401 | Casey Lee Fordham | Radiologic Technologist | 1504 Hardeman Ave, Macon, GA 31201-1416 | 2007-01-11 |
| 1821101783 | David L Burdett | Radiologic Technologist | 1504 Hardeman Ave, Ste B, Macon, GA 31201-1416 | 2006-08-16 |
| 1275544652 | Judy Lynn Cooper | Radiologic Technologist | 1504 Hardeman Ave, Suite B, Macon, GA 31201-1416 | 2006-08-10 |
| 1568473957 | Christopher Shannon Harris | Radiologic Technologist | 1504 Hardeman Ave, Suite B, Macon, GA 31201-1416 | 2006-08-10 |
| 1801807201 | Deborah Ann Kovalick-leggett | Radiologic Technologist | 1504 Hardeman Ave, Suite B, Macon, GA 31201-1416 | 2006-08-10 |
| 1891706214 | Duane Ennis | Radiologic Technologist | 1504 Hardeman Ave, Suite B, Macon, GA 31201-1416 | 2006-08-10 |
| 1922019355 | Jason Edward Wilder | Radiologic Technologist | 1504 Hardeman Ave, Suite B, Macon, GA 31201-1416 | 2006-08-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639666340 | Yasameen Emad Muzahim | Internal Medicine | 777 Hemlock Street, Msc 165, Macon, GA 31201 | 2018-04-18 |
| 1952819419 | Putnam Dialysis LLC | Clinic/Center | 657 Hemlock Street, Suite 200, Macon, GA 31201 | 2018-01-18 |
| 1730604331 | Graham Arthur Mercier | Surgery | 169 Ashley Ave., Room 202 Main Hospital Msc 333, Charleston, SC 31201 | 2017-08-04 |
| 1376075705 | Diamond Jude | Internal Medicine | 777 Hemlock Street Msc #104, Macon, GA 31201 | 2017-04-03 |
| 1174055263 | Carol Roobin Bashuk | Hearing Instrument Specialist | 634 First Street, Macon, GA 31201 | 2017-03-29 |
| 1144752411 | Hubert Pare | Student in an Organized Health Care Education/Training Program | 777 Hemlock Street, Msc# 165, Macon, GA 31201 | 2017-03-28 |
| 1548613789 | Michael Daugherty | Counselor | 1873 Hardeman Ave, Suite 1, Macon, GA 31201 | 2016-07-22 |
| 1316317993 | 4front Healthcare of Middle Georgia, LLC | Hospice Care, Community Based | 682 1st St, Macon, GA 31201 | 2015-09-25 |
| 1881073054 | Andrew Lee Drahos | Surgery | 777 Hemlock St # 140, Macon, GA 31201 | 2015-05-21 |
| 1720474158 | April Nicole Colley | Nurse Practitioner | 1014 Forsyth Street, Macon, GA 31201 | 2015-04-13 |
| Find all providers in zip 31201 | ||||
| Taxonomy Code | 2471M1202X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| Specialization | Magnetic Resonance Imaging |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679812432 | Ashley Danielle Radford | Radiologic Technologist | 1504 Hardeman Ave, Ste B, Macon, GA 31201-1441 | 2013-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972125227 | Svitlana N Payne | Radiologic Technologist | 593 Kelly Farm Rd, Newnan, GA 30265-1416 | 2020-05-09 |
| 1023416476 | Elizabeth Figueroa | Radiologic Technologist | 2521 Brighton Trl, Jonesboro, GA 30236-8806 | 2014-12-17 |
| 1720325087 | Jennifer Averett | Radiologic Technologist | 113a Fairview Park Dr, Dublin, GA 31021-2501 | 2013-01-07 |
| 1972740884 | Open Mri of Brunswick LLC | Radiologic Technologist | 2414 Parkwood Dr, Suite 100, Brunswick, GA 31520-4779 | 2009-01-14 |
| 1164599353 | Vidalia Open Mri, LLC | Radiologic Technologist | 3165 E 1st St, Vidalia, GA 30474-8830 | 2006-11-30 |
| 1477586568 | Dunwoody Imaging, LLC | Radiologic Technologist | 1750 Old Spring House Ln, Suite 205, Atlanta, GA 30338-6214 | 2006-07-09 |
| 1376984658 | Lloyd George Collins Jr. | Radiologic Technologist | 1670 Clairmont Rd, Decatur, GA 30033-4004 | 2013-07-15 |
| 1104060987 | Tattnall Hospital Company, LLC | Radiologic Technologist | 16915 Highway 67, Suite A, Statesboro, GA 30458-5819 | 2009-04-24 |
| 1164646139 | Orthoatlanta, LLC | Radiologic Technologist | 6300 Hospital Pkwy, Suite 400, Johns Creek, GA 30097-1828 | 2007-04-12 |
| 1053352096 | Opensided Mri of Atlanta, LLC | Radiologic Technologist | 993 Johnson Ferry Rd Ne, Suite105, Atlanta, GA 30342-1620 | 2006-06-09 |
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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.