Active NPI
James Gibson, MD
- Surgery Physician
- Springfield, MO
National Provider Identifier
1124061684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- R1C87
- Practice address
- 3015 S Ridge Dr
Springfield, MO 65809-3729 - Phone
- (417) 887-2342
- NPI assigned
- Jun 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | R1C87 | MO | Primary |
Addresses
Primary practice location
3015 S Ridge Dr
Springfield, MO 65809-3729
Mailing address
PO Box 802843
Kansas City, MO 64180-2843
Other practice location 1
525 Branson Landing Blvd Ste 307
Branson, MO 65616-2126
Phone (417) 875-3000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 106983 | Other | BLUE CROSS/BLUE SHIELD | |
| 109513001 | Medicaid | AR | |
| 201677408 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R1C87 | MO | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cox-Monett Hospital, Inc. | Current | Accepting new patients | |
| Cox Monett Hospital Inc | Surgery | Current | Accepting new patients |
| Cox-Monett Hospital, Inc. | Current | Accepting new patients | |
| Cox-Monett Hospital Inc | Current | Accepting new patients | |
| Skaggs Community Hospital Association | Past | Accepting new patients | |
| Lester E Cox Medical Centers | Past | Accepting new patients | |
| Ozarks Medical Center | Past | Accepting new patients | |
| Lester E Cox Medical Centers | Past | Accepting new patients | |
| Lester E Cox Medical Centers | Past | Accepting new patients | |
| Ferrell Duncan Clinic, Inc | Past | Accepting new patients |
Locations
75 Smithson Dr
Ste A
Cassville, MO 65625
Phone (417) 847-3500
1000 E US Highway 60
Monett, MO 65708
Phone (417) 354-1269
Interoperability endpoints
- james.gibson@cernerdirect.coxhealth.com
Organizations & group practices 10
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Cassville, MO
- NPI 1942467410
-
- Critical Access Hospital
- Monett, MO
- NPI 1194757500
-
- Emergency Medicine Physician
- Monett, MO
- NPI 1669687125
-
- Surgery Physician
- Monett, MO
- NPI 1750939351
-
- Multi-Specialty Clinic/Center
- Springfield, MO
- NPI 1326099383
-
- Neurology Physician
- Springfield, MO
- NPI 1023763414
-
- General Practice Physician
- Branson, MO
- NPI 1174952212
-
- Geriatric Medicine (Internal Medicine) Physician
- Springfield, MO
- NPI 1356068605
-
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
-
- Orthopaedic Surgery Physician
- Branson, MO
- NPI 1871523357
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652745600000",
"number": "1124061684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 802843",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641802843"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3015 S RIDGE DR",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658093729",
"telephone_number": "417-887-2342"
}
],
"practiceLocations": [
{
"address_1": "525 Branson Landing Blvd Ste 307",
"address_purpose": "LOCATION",
"city": "Branson",
"state": "MO",
"postal_code": "656162126",
"country_code": "US",
"telephone_number": "417-875-3000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GIBSON",
"first_name": "JAMES",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-13",
"last_updated": "2022-05-17",
"certification_date": "2022-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MO",
"license": "R1C87",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "106983",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "109513001",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201677408",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.