DR. SUSAN BALLOU GIBSON (NPI# 1902958887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902958887 |
| Entity Type | Individual |
| Full Name | DR. SUSAN BALLOU GIBSON |
| Credential | DMD, MSD |
| Practice Address |
110 Hardin Ln Suite 2 Somerset KY 42503-3818 |
| Practice Telephone | 6066789664 |
| Practice Fax Number | 6066791457 |
| Mailing Telephone | 6066789664 |
| Mailing Fax Number | 6066791457 |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
6224 | KY | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558804278 | Susan Gibson | Massage Therapist | 5143 Se Blue Heron Ln, Stuart, FL 34997-3314 | 2016-11-29 |
| 1821413550 | Susan Gibson | Counselor | 1210 S Hadden Ave, El Reno, OK 73036-5445 | 2014-03-04 |
| 1386965325 | Susan Mary Gibson | Nurse Practitioner | 222 E Canon Perdido St, Santa Barbara, CA 93101-2283 | 2010-06-14 |
| 1366576340 | Susan Elaine Gibson | Registered Nurse | 34 N. Phila. Blvd., Aberdeen, MD 21001 | 2007-03-14 |
| 1528585205 | Susan Yvette Gibson | Social Worker | 824 Bowtown Rd, Delaware, OH 43015-9661 | 2017-08-24 |
| 1407244841 | Susan D Gibson | Registered Nurse | 1909 Hampshire Pike, Columbia, TN 38401-5650 | 2015-01-08 |
| 1881082741 | Susan Marie Gibson | Occupational Therapist | 563 W Streetsboro St, Hudson, OH 44236-2050 | 2014-12-30 |
| 1164837811 | Susan G. Gibson | Nurse Practitioner | 310 Fisk St, Pittsburgh, PA 15201-1708 | 2014-06-20 |
| 1659545507 | Susan H Gibson | Physical Therapist | 1304 W Bradley Ave, Champaign, IL 61821-2035 | 2008-04-22 |
| 1720194087 | Susan M Gibson | Family Medicine | 3840 Gault Ave N, Fort Payne, AL 35967-5211 | 2006-08-21 |
| Street Address |
110 HARDIN LN SUITE 2 |
| City | SOMERSET |
| State | KY |
| Zip Code | 42503-3818 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174527956 | Sanaa Abdel-rahman Mahmoud | Allergy & Immunology | 110 Hardin Ln, Ste 3, Somerset, KY 42503-3818 | 2005-06-09 |
| 1891303368 | 1025 Health, LLC | Nurse Practitioner | 110 Hardin Ln, Somerset, KY 42503-3818 | 2020-07-21 |
| 1568898880 | Megan Weatherford | Psychologist | 110 Hardin Ln, Somerset, KY 42503-3818 | 2013-09-18 |
| 1750678728 | Pulmonary and Sleep Associates LLC | Nurse Practitioner | 110 Hardin Ln, Suite 10, Somerset, KY 42503-3818 | 2011-06-29 |
| 1144358391 | Mountainview Behavioral & Neuroscience Center LLC | Psychiatry & Neurology | 110 Hardin Ln, Suite 1, Somerset, KY 42503-3818 | 2007-03-01 |
| 1407993074 | Lake Cumberland Gastroenterology and Internal Medicine Assoc. Inc. | Nurse Practitioner | 110 Hardin Ln, Suite 9, Somerset, KY 42503-3818 | 2007-01-31 |
| 1245329069 | Mohammad Afzal | Internal Medicine | 110 Hardin Ln, Suite 2-b, Somerset, KY 42503-3818 | 2006-10-12 |
| 1447349329 | Khalid Iqbal | Internal Medicine | 110 Hardin Ln, Suite 9, Somerset, KY 42503-3818 | 2006-10-11 |
| 1982793790 | Anjum Iqbal | Internal Medicine | 110 Hardin Ln, Suite 9, Somerset, KY 42503-3818 | 2006-10-11 |
| 1588760706 | Robina M Bokhari | Psychiatry & Neurology | 110 Hardin Ln, Suite #1, Somerset, KY 42503-3818 | 2006-09-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023669652 | Carehere LLC | Family Medicine | Carehere Clinic- Toyotetsu Somerset Ky, 80 Pin Oak, Somerset, KY 42503 | 2019-09-25 |
| 1841859766 | Armina Jo Hoeck | Behavior Technician | Kid Spot Center, 200 Tower Circle, Somerset, KY 42503 | 2019-06-13 |
| 1548723042 | Lisa Hunter | Counselor | 225 Ky 2227, Somerset, KY 42503 | 2019-04-11 |
| 1982171237 | Bluegrass Hearing Clinic, LLC | Audiologist | 25 Medpark West, Suite 2, Somerset, KY 42503 | 2018-10-25 |
| 1780109116 | Kentucky Diagnostic Ultrasound, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 324 Water Cliff Dr., Somerset, KY 42503 | 2017-08-07 |
| 1689115172 | Lake Cumberland Physician Practices LLC | Internal Medicine | 154 Bogle Office Park Dr Ste B, Somerset, KY 42503 | 2017-03-16 |
| 1811356892 | Lake Cumberland Physician Practices, LLC | Nurse Practitioner | 27 Imaging Dr, Suite B, Somerset, KY 42503 | 2016-02-18 |
| 1730586447 | Amy Molen | Counselor | 259 Parkers Mill Road, Somerset, KY 42503 | 2014-11-24 |
| 1841630654 | Eastern Pulaski Rural Health Clinic,pllc | Clinic/Center | 31 Mark Shopville Rd, Somerset, KY 42503 | 2013-06-26 |
| 1881978807 | Nathan S Fisher | Counselor | 600 Clifty St Ste 2, Somerset, KY 42503 | 2011-10-10 |
| Find all providers in zip 42503 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912026956 | Laura D Swerdlin | Dentist | 1527 Route 27, Suite 2200, Somerset, NJ 08873-3979 | 2007-03-29 |
| 1861545006 | William E Carroll | Dentist | 110 Hardin Lane, Suite 2, Somerset, KY 42503-3818 | 2007-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104440874 | Greg L Adams Dmd Ms Psc | Dentist | 2880 Farrell Cres, Owensboro, KY 42303-1392 | 2020-05-29 |
| 1811462336 | Lexington Periodontics and Implant Dentistry | Dentist | 620 Perimeter Dr Ste 201, Lexington, KY 40517-4125 | 2018-10-11 |
| 1447789029 | John Andrew Houston | Dentist | 5141 Dixie Hwy Ste 102, Louisville, KY 40216-1765 | 2017-06-07 |
| 1053767053 | Commonwealth Periodontics & Implant Center | Dentist | 1545 S Main St, London, KY 40741-2071 | 2016-05-09 |
| 1033573415 | Jodie Lusby | Dentist | 4010 Dupont Cir Ste 524, St Matthews, KY 40207-4888 | 2016-04-11 |
| 1316272198 | Mark Allen King | Dentist | 107 Frazier Court, Suite 1d, Georgetown, KY 40324-8973 | 2009-10-12 |
| 1326285883 | Jeff Dickson | Dentist | 249 Greenbriar Rd, Lexington, KY 40503-4020 | 2009-01-20 |
| 1609013481 | Amjad Aldallal | Dentist | 3900 Crosby Dr Apt 2212, Lexington, KY 40515-1808 | 2009-01-15 |
| 1790977668 | Ward Thomas Piepgrass | Dentist | 3181 Beaumont Centre Cir, Lexington, KY 40513-1836 | 2007-08-15 |
| 1972714756 | Homing Kim | Dentist | 938 Louisville Rd, 200, Frankfort, KY 40601 | 2007-05-24 |
| 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.