Gibson Family Medicine P.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

17146 Issued in AZ

Legal business name

GIBSON FAMILY MEDICINE P.C.

Practice address

5111 N Scottsdale Rd
Suite 201
Scottsdale, AZ 85250-7075

Phone

(480) 656-7654

Fax

(480) 656-8718

NPI assigned

Aug 4, 2010

Last updated

Sep 12, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Shari Lynn Gibson, M.D.NPI 1902814916

Title

Ceo, Director, Officer, Physician

Phone

(480) 656-7654

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71692

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shari Lynn Gibson, MD

  • Family Medicine Physician
  • Scottsdale, AZ
  • NPI 1902814916
  Medicare reassignment NPD Authorized official
• Karen Gayle Runke-Porcello, PA

  • Family Health Clinical Nurse Specialist
  • Scottsdale, AZ
  • NPI 1730197740
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1280880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315785600000",
    "number": "1033423793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5111 N SCOTTSDALE RD",
            "address_2": "SUITE 201",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852507075",
            "telephone_number": "480-656-7654",
            "fax_number": "480-656-8718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5111 N SCOTTSDALE RD",
            "address_2": "SUITE 201",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852507075",
            "telephone_number": "480-656-7654",
            "fax_number": "480-656-8718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIBSON FAMILY MEDICINE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-04",
        "last_updated": "2011-09-12",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "SHARI",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CEO, DIRECTOR, OFFICER, PHYSICIAN",
        "authorized_official_telephone_number": "480-656-7654",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "17146",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAIL ROAD",
            "identifier": "P00952883",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Debra Giardina, RN
• Michael J Gibbons, D.M.D.
• Tayler Anne Gibbons, PA-C
• Hannah Margareth Gibbs, MD
• Edward Bernard Gibeau, EDD
• Abegael Gibson
• Christine Patricia Gibson, DO
• Denice E Gibson, DNP, RN, CRNI, BMTCN
• Sarah Elizabeth Gibson, MD
• Shari Lynn Gibson, MD

• Family Medicine Physician in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.