ANNA KATHERINE CLARK GIBSON (NPI# 1700801073) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700801073 |
| Entity Type | Individual |
| Full Name | ANNA KATHERINE CLARK GIBSON |
| Credential | M.D. |
| Practice Address |
2521 Glenn Hendren Dr Ste 108 Liberty MO 64068-3388 |
| Mailing Address |
Po Box 219672 Kansas City MO 64121-9672 |
| Practice Telephone | 8167813515 |
| Mailing Telephone | (816) 407-4200 |
| Mailing Fax Number | 8167816973 |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2017-06-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 2011007284 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 309393 | 05 | |
| MO | BCBS | 35789048 | 01 |
| NC | MEDICAID NC | 5909852 | 01 |
| Street Address |
2521 GLENN HENDREN DR STE 108 |
| City | LIBERTY |
| State | MO |
| Zip Code | 64068-3388 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003817404 | Clifford M Gall | Neurological Surgery | 2521 Glenn Hendren Dr Ste 108, Liberty, MO 64068-3388 | 2005-08-09 |
| 1013322080 | Clayton Lewis Theleman | Surgery | 2521 Glenn Hendren Dr Ste 108, Liberty, MO 64068 | 2014-06-27 |
| 1396988879 | Elizabeth Nicole Germinder | Surgery | 2521 Glenn Hendren Dr Ste 108, Liberty, MO 64068 | 2009-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700437258 | Midwestern Medical Consultants LLC | Assisted Living Facility | 227 W. Franklin St, Liberty, MO 64068 | 2019-09-26 |
| 1063935062 | Jennifer Nichole Gibson | Nurse Practitioner | Liberty Hospital 2525 Glen Hendren Dr, Liberty, MO 64068 | 2017-07-21 |
| 1598288755 | Lhlc Operations, LLC | Skilled Nursing Facility | 2609 Glenn Hendren Dr Ste G100, Liberty, MO 64068 | 2017-07-19 |
| 1023438371 | Sarah E Ehlers | Social Worker | 1170 W. Kansas Ave, Bldg 10, Liberty, MO 64068 | 2014-04-24 |
| 1629498563 | Kelli Hedgpeth | Physical Therapy Assistant | 3980 South Jackson Dr, Independence, MO 64068 | 2014-04-18 |
| 1639593965 | Klein Dental Group LLC | Clinic/Center | 12 Westwoods Dr, Liberty, MO 64068 | 2014-02-06 |
| 1124457239 | Sarah Ehlers, Lcsw LLC | Social Worker | 1170 W Kansas Ave, Bldg 10, Liberty, MO 64068 | 2013-11-08 |
| 1134561558 | Holly Hemphill | Marriage & Family Therapist | 117 N. Water Street, Liberty, MO 64068 | 2013-07-26 |
| 1093157133 | Tina Wilma Sanborn | Marriage & Family Therapist | 1170 W. Kansas St., Liberty, MO 64068 | 2013-07-17 |
| 1609215441 | Timothy Adam Lynch | Marriage & Family Therapist | 1170 West Kansas Ave., Liberty, MO 64068 | 2013-06-14 |
| Find all providers in zip 64068 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194726307 | Brett Lee Wilson | Surgery | 2521 Glenn Hendren Dr Ste 204, Liberty, MO 64068-3388 | 2005-08-10 |
| 1750838421 | Crowntown General Surgery, PC | Surgery | 2521 Glenn Hendren Dr, Suite 410, Liberty, MO 64068-3388 | 2016-09-09 |
| 1013322080 | Clayton Lewis Theleman | Surgery | 2521 Glenn Hendren Dr Ste 108, Liberty, MO 64068 | 2014-06-27 |
| 1093940157 | Kirstie Schneider Van Ry | Surgery | 2521 Glenn Hendren Dr, Ste 108, Liberty, MO 64068-3388 | 2009-05-19 |
| 1396988879 | Elizabeth Nicole Germinder | Surgery | 2521 Glenn Hendren Dr Ste 108, Liberty, MO 64068 | 2009-04-13 |
| 1558531426 | Westowne Surgical Services Inc | Surgery | 2521 Glenn Hendren Dr, Ste 108, Liberty, MO 64068 | 2008-03-07 |
| 1730280819 | Vas-nes, P.C. | Surgery | 2521 Glenn Hendren Dr, Suite 410, Liberty, MO 64068-3388 | 2006-09-25 |
| 1679684591 | Michael Earl Gorton | Surgery | 2521 Glenn Hendren Dr, Suite 306, Liberty, MO 64068-3388 | 2006-08-31 |
| 1578597076 | Charles William Beggs | Surgery | 2521 Glenn Hendren Dr, Suite 108, Liberty, MO 64068-3388 | 2006-07-10 |
| 1568429595 | Douglas W Nespory | Surgery | 2521 Glenn Hendren Dr, Suite #112, Liberty, MO 64068-3388 | 2006-04-26 |
| Find all providers in LIBERTY | ||||
Please comment or provide details below to improve the information on ANNA KATHERINE CLARK GIBSON.
| 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.