PETER DESMOND GIBSON (NPI# 1861758096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861758096 |
| Entity Type | Individual |
| Full Name | PETER DESMOND GIBSON |
| Practice Address |
107 E Oak Ave Flagstaff AZ 86001 |
| Mailing Address |
1200 N Beaver St Flagstaff AZ 86001-3118 |
| Practice Telephone | 9287797880 |
| Mailing Telephone | 9282136235 |
| Mailing Fax Number | 9282136292 |
| Enumeration Date | 2012-04-02 |
| Last Update Date | 2019-06-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
55699 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 363405 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1485 N Turquoise Dr Ste 200, Flagstaff, AZ 86001 | 9287747757 | 9282263071 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023189495 | Peter S Gibson | Speech-Language Pathologist | 360 Elk Creek Rd, Waterford, PA 16441-9246 | 2006-11-10 |
| 1912525411 | Peter Edward Bolin Gibson | Student in an Organized Health Care Education/Training Program | 1737 S Naperville Rd Ste 200, Wheaton, IL 60189-5894 | 2020-07-10 |
| 1871678771 | Peter M Gibson | Psychologist | 1350 Connecticut Ave Nw, Suite 603, Washington, DC 20036-1722 | 2006-10-26 |
| 1528028057 | Peter B Gibson | Internal Medicine | 55 Lake Ave N, Department of Medicine, Worcester, MA 01655-0002 | 2006-03-27 |
| Street Address |
107 E OAK AVE |
| City | FLAGSTAFF |
| State | AZ |
| Zip Code | 86001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316931702 | Jon R Shereck | Orthopaedic Surgery | 107 E Oak Ave, Flagstaff, AZ 86001 | 2005-08-31 |
| 1013546340 | Zachary Scott Hinger | Orthopaedic Surgery | 107 E Oak Ave, Flagstaff, AZ 86001-1818 | 2020-04-08 |
| 1548746928 | Sarah Wyard | Nurse Practitioner | 107 E Oak Ave, Flagstaff, AZ 86001-1818 | 2018-07-18 |
| 1255799789 | Iris Maczura | Nurse Practitioner | 107 E Oak Ave, Suite 201, Flagstaff, AZ 86001-1818 | 2016-01-28 |
| 1568870988 | Megan Marie Alatorre | Physician Assistant | 107 E Oak Ave, Flagstaff, AZ 86001-1818 | 2014-07-29 |
| 1740694470 | Northern Arizona Healthcare Provider Group, LLC | Family Medicine | 107 E Oak Ave, Flagstaff, AZ 86001-1818 | 2014-06-20 |
| 1003230830 | Northern Arizona Healthcare Provider Group, LLC | Psychologist | 107 E Oak Ave, Flagstaff, AZ 86001-1818 | 2014-02-14 |
| 1104260421 | Northern Arizona Healthcare Provider Group, LLC | Clinical Neuropsychologist | 107 E Oak Ave, Flagstaff, AZ 86001-1818 | 2013-04-18 |
| 1801133566 | Northern Arizona Healthcare Provider Group, LLC | Family Medicine | 107 E Oak Ave, Flagstaff, AZ 86001-1818 | 2013-01-14 |
| 1508119348 | Northern Arizona Healthcare Provider Group, LLC | Psychiatry & Neurology | 107 E Oak Ave, Flagstaff, AZ 86001-1818 | 2012-10-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427658756 | Marlenne Adair Escobar-mendoza | Specialist/Technologist | 1705 South San Francisco Street, Flagstaff, AZ 86001 | 2020-10-27 |
| 1962033712 | Laura-lee Prescott | Social Worker | Northern Az Va Healthcare System, Flagstaff Cboc, 1300 W. University Ave., Suite 300, Flagstaff, AZ 86001 | 2020-01-30 |
| 1194360784 | Trinity Medical Consultants Pllc | Internal Medicine | 1521 N Cliff Drive, Flagstaff, AZ 86001 | 2019-11-07 |
| 1154849610 | Altacare, LLC | Family Medicine | 2700 S Woodlands Village Blvd Ste 700, Flagstaff, AZ 86001 | 2017-09-05 |
| 1487174926 | Lindsey Marie Forstie | Nurse Practitioner | 7263 E Dreamview Trail, Flagstaff, AZ 86001 | 2017-06-26 |
| 1255860763 | Welbrook Senior Living Flagstaff LLC | Skilled Nursing Facility | 1521 N Pine Cliff Dr, Flagstaff, AZ 86001 | 2017-06-08 |
| 1912432675 | Ryan Tiscareno | Specialist/Technologist | 621 West Cherry Ave, Flagstaff, AZ 86001 | 2017-05-01 |
| 1629432380 | Behavioral Consultation Services, Inc. | Clinic/Center | 345 S. River Run Road, Suite 200, Flagstaff, AZ 86001 | 2016-04-08 |
| 1275920928 | Junli Gallagher | Speech-Language Pathologist | 1215 N. Beaver St, Flagstaff, AZ 86001 | 2015-04-21 |
| 1932592599 | Kristen Flugstad Psyd, LLC | Psychologist | 125 East Elm Avenue #203, Flagstaff, AZ 86001 | 2015-03-06 |
| Find all providers in zip 86001 | ||||
| Taxonomy Code | 207XS0106X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Hand Surgery |
| An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609420702 | Orthopedic Specialists of North America Pllc | Orthopaedic Surgery | 10250 N 92nd St Ste 308, Scottsdale, AZ 85258-4520 | 2019-07-26 |
| 1437569787 | Orthopedic Specialists of North America, Pllc | Orthopaedic Surgery | 20333 N 19th Ave, Suite 230, Phoenix, AZ 85027-3600 | 2014-05-07 |
| 1255741500 | Osna Pllc | Orthopaedic Surgery | 21231 E. Ocotillo Rd., Suite 134, Queen Creek, AZ 85142-5995 | 2014-05-07 |
| 1982942579 | Hand & Upper Extremity Specialists, P.C. | Orthopaedic Surgery | 10250 N 92nd St Ste 110, Scottsdale, AZ 85258-4518 | 2013-01-16 |
| 1225350044 | Orthopedic Specialists of North America, Pllc | Orthopaedic Surgery | 3530 W Val Vista Dr, Ste B105, Gilbert, AZ 85297-7318 | 2010-02-20 |
| 1770812828 | Orthopedic Specialists of North America, Pllc | Orthopaedic Surgery | 3033 N 44th St Ste 360, Phoenix, AZ 85018-7276 | 2009-12-21 |
| 1437238078 | David Allen Thull | Orthopaedic Surgery | 9220 E Mountain View Rd, Ste 102, Scottsdale, AZ 85258-5134 | 2006-11-03 |
| 1164507190 | Canyon Orthopaedic Surgeons, A Division of Osna, Pllc | Orthopaedic Surgery | 6760 W Thunderbird Rd, Ste E110, Peoria, AZ 85381-5048 | 2006-10-26 |
| 1053365528 | Leonard Bodell | Orthopaedic Surgery | 370 E Virginia Ave Ste 100, Phoenix, AZ 85004-1254 | 2006-05-20 |
| 1679563167 | Douglas A Bobb | Orthopaedic Surgery | 15830 N 35th Ave, Phoenix, AZ 85053-7640 | 2005-10-25 |
| Find all providers with the same taxonomy | ||||
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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.