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MATTHEW EDWARD GIBSON M.D. NPI 1316386303


NPI Information

NPI: 1316386303
Provider Name: MATTHEW EDWARD GIBSON, M.D.
Classification: Surgery - 2086S0129X
Entity Type: Individual

Specialization: Vascular Surgery

Organization: GEORGETOWN PHYSICIAN ASSOCIATES, LLC

PECOS Registration: Yes

Address:
169 ASHLEY AVE
ROOM 202 MAIN HOSPITAL, MSC333
CHARLESTON, SC
ZIP 29425
Phone: (843) 792-2720
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Matthew Edward Gibson, M.D. is a vascular surgery surgery in Charleston, SC with 11 years of experience. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. Matthew Edward Gibson, M.D. NPI is 1316386303. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MAYO MEDICAL SCHOOL
Graduation Year:2013

The provider's business location address is:

169 ASHLEY AVE
ROOM 202 MAIN HOSPITAL, MSC333
CHARLESTON, SC
ZIP 29425-905
Phone: (843) 792-2720

The NPI 1316386303 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/23/2013 and was last updated on 11/3/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208600000XSurgery2018-01795NORTH CAROLINANo
22086S0129XSurgeryVascular Surgery2018-01795NORTH CAROLINANo
32086S0129XSurgeryVascular Surgery36016SOUTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.