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GIBSON FAMILY MEDICINE P.C. NPI 1033423793


NPI Information

NPI: 1033423793
Provider Name: GIBSON FAMILY MEDICINE P.C.
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 03D2013950

Address:
5111 N SCOTTSDALE RD
SUITE 201
SCOTTSDALE, AZ
ZIP 85250
Phone: (480) 656-7654
Get Directions

GIBSON FAMILY MEDICINE P.C. is a family medicine in Scottsdale, AZ. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. GIBSON FAMILY MEDICINE P.C. NPI is 1033423793. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5111 N SCOTTSDALE RD
SUITE 201
SCOTTSDALE, AZ
ZIP 85250-075
Phone: (480) 656-7654
Fax: (480) 656-8718

The provider's authorized official is Shari Lynn Gibson .
The authorized official title is Ceo, Director, Officer, Physician and has the following contact phone number (480) 656-7654.

The CLIA number assigned to this NPI record is 03D2013950 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 8/4/2010 and was last updated on 9/12/2011.


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 Medicine17146ARIZONAYes

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
1E00233MEDICARE UPINARIZONA
2P00952883OTHERARIZONAMEDICARE RAIL ROAD

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

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