Theodore Dwayne Gibson in Hobart - Surgical Technologist
Theodore Dwayne Gibson - NPI 1639152473
Theodore Dwayne Gibson is a Surgical Technologist in Hobart, Indiana. Theodore Dwayne Gibson practices all healthcare services and medical treatments related to Surgical Technologist. The NPI Number for Theodore Dwayne Gibson is 1639152473. The last update date is 2007-07-08.
Theodore Dwayne Gibson's current location address is 1500 S Lake Park Ave, Hobart, Indiana. You can contact this provider via phone number 2199476425 and fax number 2199476424. The mailing address for Theodore Dwayne Gibson is 1500 S Lake Park Ave, Hobart, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Theodore Dwayne Gibson |
|---|---|
| Address | 1500 S Lake Park Ave, Hobart, Indiana |
| Phone Number | 2199476425 |
| Fax Number | 2199476424 |
| Sole Proprietor | X |
| Credentials | CST/CFA |
NPI Number Detail
| NPI Number | 1639152473 |
|---|---|
| Provider Enumeration Date | 2005-11-25 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1500 S Lake Park Ave |
|---|---|
| City | Hobart |
| State | Indiana (IN) |
| Post Code | 463426638 |
| Phone Number | 2199476425 |
| Fax Number | 2199476424 |
Provider's Primary Taxonomy Detail
| Speciality | Surgical Technologist |
|---|---|
| Taxonomy | 246Zs0410X |
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Definition: Surgical technologists are allied health professionals, who are an integral part of the team of medical practitioners providing surgical care to patients. Surgical technologists work under the supervision of a surgeon to facilitate the safe and effec |
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Post Comment/ Review Below
What is the unique identifier code issued to Theodore Dwayne Gibson by the Centers for Medicare & Medicaid Services?
The Theodore Dwayne Gibson has been assigned the NPI (National Provider Identifier) 1639152473. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Theodore Dwayne Gibson's facilities are situated?
The facilities of Theodore Dwayne Gibson are physically located at the following address: 1500 S Lake Park Ave, Hobart, IN, 463426638.
What is Theodore Dwayne Gibson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Theodore Dwayne Gibson's specialized field of practice is Surgical Technologist, and the corresponding taxonomy code that categorizes this area of specialization is 246Zs0410X.
On what date did the Theodore Dwayne Gibson receive the assignment of its 1639152473 from the Centers for Medicare & Medicaid Services?
The Theodore Dwayne Gibson was issued its 1639152473 by the Centers for Medicare & Medicaid Services on 2005-11-25.
As of what date were the details pertaining to Theodore Dwayne Gibson last refreshed?
The information related to the Theodore Dwayne Gibson, including its address, specialty, and other relevant details, was last updated on 2007-07-08.