Jack Michael Gibson in Peoria - Obstetrics & Gynecology
Jack Michael Gibson - NPI 1346235777
Jack Michael Gibson is a Obstetrics & Gynecology in Peoria, Illinois. Jack Michael Gibson practices all healthcare services and medical treatments related to Obstetrics & Gynecology. The NPI Number for Jack Michael Gibson is 1346235777. The last update date is 2019-07-18.
Jack Michael Gibson's current location address is 530 Ne Glen Oak Ave, Peoria, Illinois. You can contact this provider via phone number 3096962297. The mailing address for Jack Michael Gibson is 530 Ne Glen Oak Ave, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack Michael Gibson |
|---|---|
| Address | 530 Ne Glen Oak Ave, Peoria, Illinois |
| Phone Number | 3096962297 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1346235777 |
|---|---|
| Provider Enumeration Date | 2005-09-12 |
| Last Updated Date | 2019-07-18 |
Provider Mailing Address Detail
| Address | 530 Ne Glen Oak Ave |
|---|---|
| City | Peoria |
| State | Illinois (IL) |
| Post Code | 616370001 |
| Phone Number | 3096962297 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Obstetrics & Gynecology |
|---|---|
| Taxonomy | 207V00000X |
| Licence No | 36064619 |
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Definition: An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7200621 | IL | BLUE CROSS BLUE SHIELD | |
| 36064619 | IL | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jack Michael Gibson by the Centers for Medicare & Medicaid Services?
The Jack Michael Gibson has been issued the NPI (National Provider Identifier) 1346235777 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Jack Michael Gibson located?
The Jack Michael Gibson is located at 530 Ne Glen Oak Ave, Peoria, IL 616370001.
What is the area of specialization for Jack Michael Gibson, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jack Michael Gibson is Obstetrics & Gynecology, and the corresponding taxonomy code that categorizes this area of expertise is 207V00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1346235777 to Jack Michael Gibson?
The Centers for Medicare & Medicaid Services originally issued the 1346235777 to Jack Michael Gibson on 2005-09-12.
As of what date were the Jack Michael Gibson's details last updated?
The information pertaining to the Jack Michael Gibson, including its address, specialty, and other details, was most recently updated on 2019-07-18.
NPI Number: 1215930425
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