STEPHANIE GIBSON (NPI# 1730711524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730711524 |
| Entity Type | Individual |
| Full Name | STEPHANIE GIBSON |
| Credential | PA-C |
| Practice Address |
5301 E Huron River Dr Ypsilanti MI 48197-1051 |
| Mailing Address |
24 Frank Lloyd Wright Dr Ste J2000 Ann Arbor MI 48105-9484 |
| Practice Telephone | 7347128676 |
| Practice Fax Number | 7347123855 |
| Mailing Telephone | 7347476766 |
| Enumeration Date | 2020-02-10 |
| Last Update Date | 2020-02-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 20014070130 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417587767 | Stephanie Gibson | Nurse Practitioner | 5803 W Murfield Dr, Rogers, AR 72758-4565 | 2020-01-24 |
| 1174175731 | Stephanie Samantha Gibson | Occupational Therapist | 6760 Fox Creek Dr, Cumming, GA 30040-6662 | 2019-07-14 |
| 1427407501 | Stephanie Gibson | Community Health Worker | 600b N Lake Dr, Salem, SC 29676-2406 | 2016-06-08 |
| 1710186309 | Stephanie Ann Gibson | Massage Therapist | 515 B St Ne, Auburn, WA 98002-4003 | 2007-07-13 |
| 1568597094 | Stephanie Gibson | Pharmacist | 155 East Broad Street, Suite 1700, Columbus, OH 43215 | 2007-02-23 |
| 1619065141 | Stephanie Francis Gibson | Family Medicine | 85 Benedict Ave, Suite 101, Norwalk, OH 44857-2112 | 2006-10-10 |
| 1801495494 | Stephanie Gibson | Nurse Practitioner | 12016 N Radio Station Rd, Seneca, SC 29678-1143 | 2020-10-23 |
| 1699309708 | Stephanie Gibson | Physician Assistant | 3801 Scott and White Dr, Killeen, TX 76543-5252 | 2020-02-27 |
| 1306317508 | Stephanie Gibson | Behavior Technician | 1801 Excise Ave Ste 116, Ontario, CA 91761-8557 | 2018-12-16 |
| 1629543384 | Stephanie Nichole Gibson | Behavior Technician | 20101 Hamilton Ave Ste 100, Torrance, CA 90502-1351 | 2018-10-09 |
| Street Address |
5301 E HURON RIVER DR |
| City | YPSILANTI |
| State | MI |
| Zip Code | 48197-1051 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073515268 | Imad Ayyar | Internal Medicine | 5301 E Huron River Dr, Ypsilanti, MI 48197-1051 | 2005-06-01 |
| 1134729114 | St Joseph Mercy Hospital | General Acute Care Hospital | 5301 E Huron River Dr, Ypsilanti, MI 48197-1051 | 2020-10-28 |
| 1447801758 | Rachel Kyley Mccready | Physician Assistant | 5301 E Huron River Dr, Ypsilanti, MI 48197-1051 | 2019-09-27 |
| 1679125579 | Ariana Bennett | Nurse Anesthetist, Certified Registered | 5301 E Huron River Dr, Ypsilanti, MI 48197-1051 | 2019-07-10 |
| 1831758671 | Emily Trombley | Physical Therapist | 5301 E Huron River Dr, Ypsilanti, MI 48197-1051 | 2019-06-06 |
| 1871052225 | St Joseph Mercy Hospital | Clinic/Center | 5301 E Huron River Dr, Ypsilanti, MI 48197-1051 | 2019-03-15 |
| 1437622099 | Lauren Noelle Easterbrook | Registered Nurse | 5301 E Huron River Dr, Ypsilanti, MI 48197-1051 | 2019-01-07 |
| 1023584356 | Mary Lee Beauregard | Speech-Language Pathologist | 5301 E Huron River Dr, Ypsilanti, MI 48197-1051 | 2018-10-13 |
| 1669947933 | Kay Otto | Speech-Language Pathologist | 5301 E Huron River Dr, Ypsilanti, MI 48197-1051 | 2018-10-12 |
| 1245705797 | Brittany K Fillipps | Speech-Language Pathologist | 5301 E Huron River Dr, Ypsilanti, MI 48197-1051 | 2018-10-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700423092 | Devika Dibya Choudhuri | Counselor | 135 Porter West Circle Drive, Ypsilanti, MI 48197 | 2019-12-05 |
| 1770128837 | Brian Lee Shue | Registered Nurse | 6277 Maplehurst Dr, Ypsilanti, MI 48197 | 2019-11-13 |
| 1639721566 | Darlene E Bellers | 845 W. Circle Dr, Suite 160, Ypsilanti, MI 48197 | 2019-07-11 | |
| 1073165874 | Eastern Michigan University | Dietitian, Registered | Suite 160 Rackham, Ypsilanti, MI 48197 | 2019-07-11 |
| 1447815469 | Rainbow Rehabilitation Centers, Inc. | Community Based Residential Treatment Facility, Mental Illness | 6200 Textile Rd, Ypsilanti, MI 48197 | 2019-05-06 |
| 1417416298 | Justin Brewer | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Drive Suite 2115, Ypsilanti, MI 48197 | 2019-03-19 |
| 1124519780 | Great Lakes Mindfulness LLC | Community/Behavioral Health | 4007 Carpenter Rd # 280, Ypsilanti, MI 48197 | 2018-05-19 |
| 1841799715 | Bedside Angel's Home Care, LLC | Home Health | 2032 S. Congress Street, Ypsilanti, MI 48197 | 2018-02-06 |
| 1891211777 | Brandon James Kukal | Specialist/Technologist | 799 N Hewitt, Ypslinati, MI 48197 | 2017-08-22 |
| 1669908737 | Michael Bekkerman | Student in an Organized Health Care Education/Training Program | 5303 Elliot Drive, Cancer Center, Ypsilanti, MI 48197 | 2017-05-10 |
| Find all providers in zip 48197 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558821785 | Alexa Renee Tremmel | Physician Assistant | 5301 Mcauley Dr Ste 2199, Ypsilanti, MI 48197-1051 | 2019-03-22 |
| 1326510686 | Ovidiu George Curtean | Physician Assistant | 5333 Mcauley Dr Rm 5112, Ypsilanti, MI 48197-1003 | 2018-12-27 |
| 1720592637 | Martin Ace Layne | Physician Assistant | 802 Lowell St Apt 2, Ypsilanti, MI 48197-2808 | 2017-11-30 |
| 1013363712 | Laura Beth Winningham | Physician Assistant | 5301 Mcauley Dr # C-139, Ypsilanti, MI 48197-1051 | 2016-05-11 |
| 1972906444 | Devon Murphy | Physician Assistant | 5303 Elliott Drive, Suite 210, Ypsilanti, MI 48197 | 2014-09-29 |
| 1821351065 | Kristine N Hammond | Physician Assistant | 5333 Mcauley Dr Rm 2017, Ypsilanti, MI 48197-1096 | 2012-06-22 |
| 1245477819 | Jane R Burch | Physician Assistant | 3511 Bemis Rd, Ypsilanti, MI 48197-9307 | 2009-01-19 |
| 1235388158 | Rosemary Mackraz Thornton | Physician Assistant | 5333 Mcauley Dr Rm 3009, Ypsilanti, MI 48197-1097 | 2008-09-16 |
| 1730343062 | Courtney M Estala | Physician Assistant | 5315 Elliott Dr., Suite 301, Ypsilanti, MI 48197 | 2008-07-16 |
| 1558349910 | Carolyn M. Nickel | Physician Assistant | 5301 E Huron River Drive, Ypsilanti, MI 48197 | 2006-01-05 |
| Find all providers in YPSILANTI | ||||
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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.