MADORA GIBSON (NPI# 1720698871) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720698871 |
| Entity Type | Individual |
| Full Name | MADORA GIBSON |
| Practice Address |
836 Gibson Rd Alum Creek WV 25003-5481 |
| Practice Telephone | 3047560073 |
| Mailing Telephone | 3047560073 |
| Enumeration Date | 2020-08-04 |
| Last Update Date | 2020-08-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers |
| Street Address |
836 GIBSON RD |
| City | ALUM CREEK |
| State | WV |
| Zip Code | 25003-5481 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093327793 | Kathy Marie Davis | Technician | 71 Tyler Lane, Alum Creek, WV 25003 | 2020-08-24 |
| 1992337869 | Ridgeline Services Consulting Services, LLC | Counselor | 2162 Childress Road, Alum Creek, WV 25003 | 2020-02-10 |
| 1831283381 | Alum Creek Medical Center, Inc. | Family Medicine | 2150 Childress Road, Alum Creek, WV 25003 | 2006-10-02 |
| 1609906726 | Scott Franklin Smith | Family Medicine | 2150 Childress Road, Alum Creek, WV 25003 | 2007-03-07 |
| 1396920138 | Alum Creek Medical Center, Inc. | Clinical Medical Laboratory | 2150 Childress Road, Alum Creek, WV 25003-0040 | 2007-12-28 |
| 1831612977 | Celeste K Goodnight | Nurse Practitioner | 2150 Alum Creek Medical Center, Alum Creek, WV 25003-1750 | 2017-07-20 |
| 1891305967 | Rosalena Kirk | Technician | 567 Jessie Ln, Alum Creek, WV 25003-5452 | 2020-08-04 |
| 1598372658 | Tabitha Rennea Murphy | Technician | 256 Kanawha Ln, Alum Creek, WV 25003-5607 | 2020-09-23 |
| 1023627601 | Stephan Wright | Technician | 696 Midway Rd, Alum Creek, WV 25003-8106 | 2020-07-29 |
| 1154621340 | Meds 2 Go Express Pharmacy Inc | Pharmacy | 762 Little Coal River Rd, Alum Creek, WV 25003-9262 | 2010-10-22 |
| Find all providers in zip 25003 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598372658 | Tabitha Rennea Murphy | Technician | 256 Kanawha Ln, Alum Creek, WV 25003-5607 | 2020-09-23 |
| 1093327793 | Kathy Marie Davis | Technician | 71 Tyler Lane, Alum Creek, WV 25003 | 2020-08-24 |
| 1376154195 | Zena Pence | Technician | 382 Little Coal River Rd, Alum Creek, WV 25003-9732 | 2020-08-14 |
| 1891305967 | Rosalena Kirk | Technician | 567 Jessie Ln, Alum Creek, WV 25003-5452 | 2020-08-04 |
| 1023627601 | Stephan Wright | Technician | 696 Midway Rd, Alum Creek, WV 25003-8106 | 2020-07-29 |
| 1285246892 | Meagan Mihelic | Technician | 589 Midway Rd, Alum Creek, WV 25003-9577 | 2020-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295336980 | Tricia Carpenter | Technician | 123 Water St, Spencer, WV 25276-1736 | 2020-11-08 |
| 1922609619 | Michael Nakonechny | Technician | 1443 20th St, Parkersburg, WV 26101-3421 | 2020-11-08 |
| 1942801634 | Connie Stewart | Technician | 64 Cardinal Ln, Glenville, WV 26351-1700 | 2020-11-08 |
| 1215538905 | Mary Caplinger | Technician | 2201 Beverly St, Parkersburg, WV 26101-6814 | 2020-11-08 |
| 1205437993 | Rhonda Allman | Technician | 3118 Harris Hwy, Washington, WV 26181-8709 | 2020-11-08 |
| 1396346086 | Danielle Ayers | Technician | 9691 N Calhoun Hwy, Big Springs, WV 26137-7537 | 2020-11-08 |
| 1649871328 | Leah West | Technician | 132 Miller Dr Apt D, Ripley, WV 25271-1126 | 2020-11-08 |
| 1841891538 | Deidra Montgomery | Technician | 1402 Lake Washington Rd, Washington, WV 26181-8222 | 2020-11-08 |
| 1790386605 | Samantha Faye Oscar | Technician | 279 Roy Dr, Ridgeley, WV 26753-9451 | 2020-11-06 |
| 1235730185 | Andrew Lee Fluharty | Technician | 1222 23rd St, Parkersburg, WV 26101-2702 | 2020-11-06 |
| Find all providers with the same taxonomy | ||||
| City | ALUM CREEK |
| Zip Code | 25003 |
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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.