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DR. GLEN R GIBSON MD NPI 1609874973


NPI Information

NPI: 1609874973
Provider Name: DR. GLEN R GIBSON, MD
Classification: Surgery - 2086X0206X
Entity Type: Individual

Specialization: Surgical Oncology

PECOS Registration: Yes

Address:
2003 MEDICAL PKWY
SUITE 301
ANNAPOLIS, MD
ZIP 21401
Phone: (410) 266-9966
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DR. Glen R Gibson, MD is a surgical oncology surgery in Annapolis, MD with 27 years of experience. The provider is a surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research. DR. Glen R Gibson, MD NPI is 1609874973. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: TUFTS UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1997

The provider's business location address is:

2003 MEDICAL PKWY
SUITE 301
ANNAPOLIS, MD
ZIP 21401-992
Phone: (410) 266-9966
Fax: (410) 266-6819

The NPI 1609874973 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.

  • Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older (HCPCS:36561)
  • Fluoroscopic guidance for insertion, replacement or removal of central venous access device (HCPCS:77001)

The enumeration date for this NPI number is 7/12/2005 and was last updated on 12/5/2013.


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
12086X0206XSurgerySurgical OncologyD0062550MARYLANDYes

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
1102077OTHERJHHC
2J91072MEDICARE UPIN
3148797ZADNMEDICARE PIN
41703604OTHERAMERICHOICE
5254989OTHERKAISER
6407972800MEDICAIDMARYLAND
7610307700OTHERFEDERAL WORKMANS COMP
82363265OTHERUNITED HEALTHCARE
93758040OTHERCIGNA
10K5850009OTHERBCBS DC
11145726104OTHERFEDERAL WORKMAN'S COMP (ANNE ARUNDEL MEDICAL CENTER)
1264670903OTHERBCBS (HOS)
1364670904OTHERBCBS (HOS)
1464670908OTHERBCBS
152137029OTHERMAMSI
163943260OTHERAETNA HMO
17129NM350MEDICARE PIN
180001OTHERBCBS
1964670901OTHERBCBS
207105042OTHERAETNA PPO
21287909OTHERAMERIGROUP
22407175105MEDICAIDMARYLAND
23P00422597MEDICARE PIN

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.