Michael S Gibson (NPI# 1447246640, PAC ID# 4385646074) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1447246640 |
| PAC ID by PECOS | 4385646074 |
| Professional Enrollment ID | I20070911000414 |
| Full Name | Michael S Gibson |
| Organization Legal Name | ST AGNES HEALTHCARE INC |
| Address |
900 Caton Ave Baltimore MD 21229-5201 |
| Phone Number | 6672346000 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE |
| Graduation Year | 1997 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 9830092733 |
| Number of Group Practice Members | 218 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 320085 | MOUNTAIN VIEW REGIONAL MEDICAL CENTER |
| 210011 | SAINT AGNES HOSPITAL |
| 430083 | PHS INDIAN HOSPITAL AT EAGLE BUTTE |
| 320018 | MEMORIAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 900 Caton Ave, Baltimore, MD 21229-5201 | 6672346000 | ST AGNES HEALTHCARE INC |
| 24276 166th Airport Rd, Eagle Butte, SD 57625 | 6059647724 | EAGLE BUTTE INDIAN HEALTH SERVICE HOSPITAL |
| 4685 Corte Mar Del Corazon, San Diego, CA 92130-2692 | 7036521200 | EAGLEEYE RADIOLOGY INC |
| 7901 Frost St, San Diego, CA 92123-2701 | 8589393600 | SAN DIEGO DIAGNOSTIC RADIOLOGY MEDICAL GROUP INC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_195_overall | Radiology: Stenosis Measurement in Carotid Imaging Reports | 100% | |
| MIPS_EC_436_overall | Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques | 4% |
| Organization Legal Name | ST AGNES HEALTHCARE INC |
| Physicians | 28 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Atul Matta | Internal Medicine | St Agnes Healthcare Inc | 900 Caton Ave, Baltimore, MD 21229-5201 |
| Christopher M Knaus | Diagnostic Radiology | St Agnes Healthcare Inc | 900 Caton Ave, Baltimore, MD 21229-5201 |
| Jacquelyn J. Pelham | Obstetrics/gynecology | St Agnes Healthcare Inc | 900 Caton Ave, Baltimore, MD 21229-5201 |
| Juliet C Azie | Internal Medicine | St Agnes Healthcare Inc | 900 Caton Ave, Baltimore, MD 21229-5201 |
| Grayson W Hooper | Diagnostic Radiology | St Agnes Healthcare Inc | 900 Caton Ave, Baltimore, MD 21229-5201 |
| Marjorie P Mcgrow | Physician Assistant | St Agnes Healthcare Inc | 900 Caton Ave, Baltimore, MD 21229-5201 |
| Zachary Alexander | Diagnostic Radiology | St Agnes Healthcare Inc | 900 Caton Ave, Baltimore, MD 21229-5201 |
| Jennifer M Sheely | Physician Assistant | St Agnes Healthcare Inc | 900 Caton Ave, Baltimore, MD 21229-5201 |
| Neleen B Orsal | Nurse Practitioner | St Agnes Healthcare Inc | 900 Caton Ave, Baltimore, MD 21229-5201 |
| Jill A Patton | Nurse Practitioner | St Agnes Healthcare Inc | 900 Caton Ave, Baltimore, MD 21229-5201 |
| Street Address |
900 CATON AVE |
| City | BALTIMORE |
| State | MD |
| Zip | 21229-5201 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Victoria V Manger | Certified Registered Nurse Anesthetist (crna) | St. Agnes Healthcare, Inc. | 900 Caton Ave, Baltimore, MD 21229-5201 |
| Hana Adem | Physician Assistant | St. Agnes Healthcare, Inc. | 900 Caton Ave, Baltimore, MD 21229-5201 |
| Juping Bao | Anesthesiology | St. Agnes Healthcare, Inc. | 900 Caton Ave, Baltimore, MD 21229-5201 |
| Linda J Swallow | Nurse Practitioner | St. Agnes Healthcare, Inc. | 900 Caton Ave, Baltimore, MD 21229-5201 |
| Sanaz Sakiani | Endocrinology | St. Agnes Healthcare, Inc. | 900 Caton Ave, Baltimore, MD 21229-5201 |
| Neal Dodia | Critical Care (intensivists) | St. Agnes Healthcare, Inc. | 900 Caton Ave, Baltimore, MD 21229-5201 |
| Jennifer Jill Rodriguez | Physician Assistant | St. Agnes Healthcare, Inc. | 900 Caton Ave, Baltimore, MD 21229-5201 |
| Lauren E Slater | Physician Assistant | St. Agnes Healthcare, Inc. | 900 Caton Ave, Baltimore, MD 21229-5201 |
| Adrian Zielinski | Emergency Medicine | Cep America LLC | 900 Caton Ave, Baltimore, MD 21229-5201 |
| Domingo C Cheng | Anesthesiology | St. Agnes Healthcare, Inc. | 900 Caton Ave, Baltimore, MD 21229-5201 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Johnny T Yap | Obstetrics/gynecology | 5200 Baltimore National Pike, Baltimore, MD 21229-1024 | |
| Catharine L Weiss | Clinical Psychologist | University Care LLC | 4538 Edmondson Ave, Baltimore, MD 21229-1506 |
| Wondwosen Abdi | Gastroenterology | Wondwosen Abdi, Md,pa | 5411 Old Frederick Rd, Suite 11, Baltimore, MD 21229-2100 |
| Icia Ragsdale | Clinical Social Worker | National Pike Health Center | 5411 Old Frederick Rd, Suite 13, Baltimore, MD 21229-2126 |
| Telisa Hickson | Clinical Social Worker | National Pike Health Center | 5411 Old Frederick Rd, Suite 13, Baltimore, MD 21229-2126 |
| Sharon Mccormack | Internal Medicine | Damian E Birchess Md Et Al Ptr Christine L Commerford Md | 5411 Old Frederick Rd, Suite 18, Baltimore, MD 21229-2195 |
| Christine L Commerford | Family Medicine | Damian E Birchess Md Et Al Ptr Christine L Commerford Md | 5411 Old Frederick Rd, Suite 18, Baltimore, MD 21229-2195 |
| Victoria Steiner-larsen | Family Medicine | Damian E Birchess Md Et Al Ptr Christine L Commerford Md | 5411 Old Frederick Rd, Suite 18, Baltimore, MD 21229-2195 |
| Damian E Birchess | Family Medicine | Damian E Birchess Md Et Al Ptr Christine L Commerford Md | 5411 Old Frederick Rd, Suite 18, Baltimore, MD 21229-2195 |
| Mesay W Gebresilassie | Nurse Practitioner | California Emergency Physicians Medical Group A Professional Corp | 22 S Athol Ave, Baltimore, MD 21229-3405 |
| Find all physicians in zip 21229 | |||
| City | BALTIMORE |
| Zip Code | 21229 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | BALTIMORE + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Michael S Gibson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.