DR. CHARLES JERARD GIBSON


Address: 221 Michigan St Ne Ste 400, Grand Rapids, MI 49503-2543
Phone: 6164869600

DR. CHARLES JERARD GIBSON (NPI# 1740596402) 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) 1740596402
Entity Type Individual
Full Name DR. CHARLES JERARD GIBSON
Credential M.D
Practice Address 221 Michigan St Ne Ste 400
Grand Rapids
MI 49503-2543
Mailing Address 100 Michigan St Ne
Mc 845
Grand Rapids
MI 49503-2560
Practice Telephone 6164869600
Mailing Telephone 6164866790
Mailing Fax Number 6164866702
Enumeration Date 2010-08-19
Last Update Date 2019-06-26
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2086S0102X Surgery
Specialization: Surgical Critical Care
4301096520 MI Allopathic & Osteopathic Physicians

Other Providers CHARLES GIBSON

NPI Name Taxonomy Address Enumeration
1124053277 Charles M Gibson Internal Medicine 350 Longwood Ave, 1st Floor, Boston, MA 02115-5726 2006-07-11
1528028073 Charles F Gibson Psychologist 210 E Milltown Rd Ste B, Wooster, OH 44691-1200 2006-03-27
1205830262 Charles Robert Gibson Optometrist 555 E Medical Center Blvd, Suite 101, Webster, TX 77598-4326 2005-06-08
1003423013 Charles Keith Gibson In Home Supportive Care 4110 Ann Elise Ct, Fairfield Township, OH 45011-6211 2020-09-24
1992348551 Charles C Gibson Case Manager/Care Coordinator 1404 E Church St, Warren, AR 71671 2019-10-25
1598975112 Charles Gibson Social Worker 2100 Comer Ave, Columbus, GA 31904-8725 2007-05-23
1285772350 Charles Gary Gibson Dentist 2068 Bridgeport Ave, Milford, CT 06460-4634 2007-02-02
1972673432 Charles Gibson Optometrist 2425 Zero St, Fort Smith, AR 72901-8663 2006-11-09
1780778365 Charles Brooks Gibson Counselor 283 Biltmore Ave, Asheville, NC 28801-4157 2006-10-03

Office Location

Street Address 221 MICHIGAN ST NE STE 400
City GRAND RAPIDS
State MI
Zip Code 49503-2543

Providers in the same location

NPI Name Taxonomy Address Enumeration
1174515167 Benjamin P Loyd Physician Assistant 221 Michigan St Ne Ste 400, Grand Rapids, MI 49503-2543 2005-08-17
1922573369 Amy Marie Olinzock Nurse Practitioner 221 Michigan St Ne Ste 400, Grand Rapids, MI 49503-2543 2018-10-12
1285141168 Hillary Ann Piskin Physician Assistant 221 Michigan St Ne Ste 400, Grand Rapids, MI 49503-2543 2018-01-02
1194240440 Megan Onece Zabawa Physician Assistant 221 Michigan St Ne Ste 400, Grand Rapids, MI 49503-2543 2017-08-08
1659748705 Heather Marie Paas Physician Assistant 221 Michigan St Ne Ste 400, Grand Rapids, MI 49503-2538 2015-08-25
1427437177 Ian Gary Mcbain Physician Assistant 221 Michigan St Ne Ste 400, Grand Rapids, MI 49503-2543 2015-05-28
1124406582 Susan Grace Passavant Nurse Practitioner 221 Michigan St Ne Ste 400, Grand Rapids, MI 49503-2543 2015-05-18
1528477387 Kailyn Sum York Lain Kwong Hing Surgery 221 Michigan St Ne Ste 400, Grand Rapids, MI 49503-2538 2014-08-06
1861811036 Matthew Charles Starke Orthopaedic Surgery 221 Michigan St Ne Ste 400, Grand Rapids, MI 49503-2538 2014-04-15
1811314289 Phillip James Hampton Physician Assistant 221 Michigan St Ne Ste 400, Grand Rapids, MI 49503-2543 2014-03-24
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1801496195 Airway Oxygen, Inc. Durable Medical Equipment & Medical Supplies Lemmen Holton Cancer Pavilion, 145 Michigan St Ne Ste 3400, Grand Rapids, MI 49503 2020-10-27
1730707282 Adriana Molina-schmuker Counselor 901 Eastern Avenue Ne, Grand Rapids, MI 49503 2020-07-10
1477176949 Kimberly Buskirk Specialist 1131 Ionia Ava Nw, Grand Rapids, MI 49503 2020-05-19
1124647805 Jared Host Speech-Language Pathologist Mercy Health Hauenstein Neuroscience Center 220 Cherry, Grand Rapids, MI 49503 2020-04-13
1265061378 Heather Gladfelter Student in an Organized Health Care Education/Training Program 339 Barclay Ave Ne Ste 300, Grand Rapids, MI 49503 2020-04-02
1194368647 Amy Jo Arends Nurse Practitioner 350 Lafayette S.e., Suite 301, Grand Rapids, MI 49503 2019-10-28
1376185199 Beth Arce Occupational Therapist 245 Cherry St Se Suite 302, Grand Rapids, MI 49503 2019-10-14
1295387256 Althea Ziolkowski Licensed Practical Nurse Salvation Army Turning Point Programs, 1215 Fulton St E, Grand Rapids, MI 49503 2019-07-10
1790340719 Heather Anne Fox Occupational Therapist Marywood, 111 Lakeside Dr Ne, Grand Rapids, MI 49503 2019-05-06
1184182883 April L Kaiserlian Social Worker 983 Spaulding Ave Ne, Ada, MI 49503 2019-03-12
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Taxonomy Information

Taxonomy Code 2086S0102X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Surgical Critical Care

Taxonomy Definition

A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1467748210 John Dillon Galbraith Surgery 100 Michigan St Ne Ste A501, Grand Rapids, MI 49503 2011-06-21
1164594420 James E Hoogeboom Surgery 6290 Burton St Se, Grand Rapids, MI 49546-6775 2006-11-14
1528477387 Kailyn Sum York Lain Kwong Hing Surgery 221 Michigan St Ne Ste 400, Grand Rapids, MI 49503-2538 2014-08-06
1992017925 Spectrum Health Primary Care Partners Surgery 100 Michigan St Ne, Mhc4850, Grand Rapids, MI 49503-2560 2010-07-07
1225266331 Alistair Jon Chapman Surgery 221 Michigan St Ne Ste 400, Grand Rapids, MI 49503-2543 2009-06-26
1003945908 Cathryn Lynn Chadwick Surgery 221 Michigan St Ne Ste 400, Grand Rapids, MI 49503-2543 2007-03-05
1013018845 Gaby A P Iskander Surgery 221 Michigan St Ne Ste 400, Grand Rapids, MI 49503-2543 2006-09-26

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1215127501 Vinod K Puri Surgery 16001 W. Nine Mile Rd, Providence Hospital, Southfield, MI 48075 2007-08-01
1215090840 Michael S. Malian Surgery 18101 Oakwood Boulevard, Beaumont Hospital, Dearborn Trauma Svcs, Dearborn, MI 48123 2006-12-18
1699870865 St. Marys of Michigan Specialists Surgery 4690 Mcleod Dr E, Ste B, Saginaw, MI 48604-2836 2006-09-13
1659371326 Marc L. Cullen Surgery Childrens Hospital of Michigan, 3901 Beaubien Blvd, Detroit, MI 48201 2005-07-26
1518522093 Jamal D Farhan, M.d., P.C. Surgery 1020 Charter Dr Ste A, Flint, MI 48532-3584 2019-05-09
1306386586 W.a. Foote Memorial Hospital, Inc Surgery 205 N East Ave, Jackson, MI 49201-1753 2017-03-07
1154863033 United Critical Care Plc Surgery 6071 W Outer Dr, Detroit, MI 48235-2624 2016-11-09
1578941969 John R Montgomery Surgery 1500 E Medical Center Dr, 2110 Tc, Spc 5346, Ann Arbor, MI 48109-5000 2015-05-18
1609167063 Jeffrey C Walker Surgery 5301 Mcauley Drive, Trauma & Surgical Critical Care, Ypsilanti, MI 48197-5033 2011-04-20
1346486081 St Marys of Michigan Specialists Surgery 4690 Mcleod Dr E, Saginaw, MI 48604-2836 2008-12-31
Find all providers with the same taxonomy

Competitor

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City GRAND RAPIDS
Zip Code 49503

Improve Information

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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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