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CAROL ANN JACKSON-GIBSON MD NPI 1164421442


NPI Information

NPI: 1164421442
Provider Name: CAROL ANN JACKSON-GIBSON, MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

PECOS Registration: Yes

Address:
1150 YOUNGS RD
SUITE 111
WILLIAMSVILLE, NY
ZIP 14221
Phone: (716) 688-7622
Get Directions

Carol Ann Jackson-gibson, MD is a diagnostic radiology radiology in Williamsville, NY with 39 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Carol Ann Jackson-gibson, MD NPI is 1164421442. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: STATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduation Year:1985

The provider's business location address is:

1150 YOUNGS RD
SUITE 111
WILLIAMSVILLE, NY
ZIP 14221-053
Phone: (716) 688-7622
Fax: (716) 688-7592

The NPI 1164421442 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Mammography of both breasts (HCPCS:77067)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Bone density measurement using dedicated x-ray machine (HCPCS:77080)
  • Ultrasound of head and neck (HCPCS:76536)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Ultrasound pelvis through vagina (HCPCS:76830)
  • Ct scan of abdomen and pelvis (HCPCS:74176)

The enumeration date for this NPI number is 7/19/2005 and was last updated on 3/11/2013.


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
12085N0904XRadiologyNuclear Radiology176786NEW YORKNo
22085R0202XRadiologyDiagnostic Radiology176786NEW YORKYes

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
1150589FFOTHERNEW YORKPREFERRED CARE-ROCHESTER
25609475OTHERNEW YORKINDEPENDENT HEALTH #
3E47457MEDICARE UPINNEW YORK
4CR-DRA176786-2WOTHERNEW YORKWORKERS COMPENSATION #
500025193901OTHERNEW YORKUNIVERA/EXCELLUS #
601598136MEDICAIDNEW YORK
7300118785OTHERNEW YORKRAILROAD MEDICARE #
8000525515015OTHERNEW YORKBLUE CROSS WNY #
9CC4178MEDICARE ID-TYPE UNSPECIFIEDNEW YORKBILLING

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

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.