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MICHAEL P GIBSON MD NPI 1396789780


NPI Information

NPI: 1396789780
Provider Name: MICHAEL P GIBSON, MD
Classification: Preventive Medicine - 2083X0100X
Entity Type: Individual

Specialization: Occupational Medicine

Address:
6533 W EMERALD ST
BOISE, ID
ZIP 83704
Phone: (208) 367-4197
Get Directions

Michael P Gibson, MD is an occupational medicine preventive medicine in Boise, ID. The provider is occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability. Michael P Gibson, MD NPI is 1396789780. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6533 W EMERALD ST
BOISE, ID
ZIP 83704-737
Phone: (208) 367-4197
Fax: (208) 367-8136

The enumeration date for this NPI number is 6/15/2006 and was last updated on 12/31/2008.


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
1207Q00000XFamily MedicineM-3046IDAHONo
22083X0100XPreventive MedicineOccupational MedicineM3046IDAHOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11108698MEDICARE ID-TYPE UNSPECIFIEDIDAHO
2E08593MEDICARE UPIN
3003716100MEDICAIDIDAHO

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.