Delores Darlene Gibson in Columbus - Exclusive Provider Organization
Delores Darlene Gibson - NPI 1205961067
Delores Darlene Gibson is a Exclusive Provider Organization in Columbus, Ohio. Delores Darlene Gibson practices all healthcare services and medical treatments related to Exclusive Provider Organization. The NPI Number for Delores Darlene Gibson is 1205961067. The last update date is 2007-07-08.
Delores Darlene Gibson's current location address is 3821 Aries Brook Dr, Columbus, Ohio. You can contact this provider via phone number 6149758623. The mailing address for Delores Darlene Gibson is 3821 Aries Brook Dr, Columbus, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Delores Darlene Gibson |
|---|---|
| Address | 3821 Aries Brook Dr, Columbus, Ohio |
| Phone Number | 6149758623 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1205961067 |
|---|---|
| Provider Enumeration Date | 2007-02-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3821 Aries Brook Dr |
|---|---|
| City | Columbus |
| State | Ohio (OH) |
| Post Code | 432074696 |
| Phone Number | 6149758623 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Exclusive Provider Organization |
|---|---|
| Taxonomy | 302F00000X |
| Licence No | 2149320 |
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Definition: (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage f |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2149320 | OH | INDEPENDENT PROVIDER |
Post Comment/ Review Below
What is the unique identifier code issued to Delores Darlene Gibson by the Centers for Medicare & Medicaid Services (CMS)?
The Delores Darlene Gibson has been assigned the NPI (National Provider Identifier) 1205961067. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Delores Darlene Gibson is physically located?
The Delores Darlene Gibson is situated at the following address: 3821 Aries Brook Dr, Columbus, OH 432074696.
What is the area of specialization for Delores Darlene Gibson, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Delores Darlene Gibson is Exclusive Provider Organization, and the corresponding taxonomy code that categorizes this area of expertise is 302F00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1205961067 to Delores Darlene Gibson?
The Centers for Medicare & Medicaid Services originally issued the 1205961067 to Delores Darlene Gibson on 2007-02-22.
As of what date were the details related to Delores Darlene Gibson most recently updated or revised?
The information pertaining to Delores Darlene Gibson, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.