GEORGE GIBBONS M.D. NPI 1972587004

NPI Information

NPI: 1972587004
Provider Name: GEORGE GIBBONS, M.D.
Classification: Pathology - 207ZD0900X
Entity Type: Individual

Specialization: Dermatopathology

PECOS Registration: Yes

Address:
10500 UNIVERSITY CENTER DR
STE 175
TAMPA, FL
ZIP 33612
Phone: (800) 929-6694
Get Directions

George Gibbons, M.D. is a dermatopathology pathology in Tampa, FL. The provider is a dermatopathologist is an expert in diagnosing and monitoring diseases of the skin including infectious, immunologic, degenerative, and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings, and smears of skin lesions by means of light microscopy, electron microscopy, and fluorescence microscopy. George Gibbons, M.D. NPI is 1972587004. 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:

10500 UNIVERSITY CENTER DR
STE 175
TAMPA, FL
ZIP 33612-494
Phone: (800) 929-6694
Fax: (407) 856-2312

The NPI 1972587004 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 12/1/2005 and was last updated on 5/8/2015.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207ZP0102X	Pathology	Anatomic Pathology & Clinical Pathology	C1-0007055	DELAWARE	No
2	207ZD0900X	Pathology	Dermatopathology	ME94720	FLORIDA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	H25180	MEDICARE UPIN
2	U6580Z	MEDICARE PIN	FLORIDA
3	019117A74	MEDICARE PIN	DELAWARE
4	274275600	MEDICAID	FLORIDA

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: 4/28/2024

NPI Synchronization or Removal

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