Cora Lee Gibbs, PA

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Practice address

Sports and Orthopaedic Specialists
8100 W 78TH Street, Suite 230
Edina, MN 55439-2570

Phone

(952) 946-9777

NPI assigned

Aug 28, 2016

Last updated

Aug 28, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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

{
    "created_epoch": "1472342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472342400000",
    "number": "1124574322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SPORTS AND ORTHOPAEDIC SPECIALISTS",
            "address_2": "8100 W. 78TH STREET, SUITE 230",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554392570",
            "telephone_number": "952-946-9777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SPORTS AND ORTHOPAEDIC SPECIALISTS",
            "address_2": "8100 W 78TH STREET, SUITE 230",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554392570",
            "telephone_number": "952-946-9777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBBS",
        "first_name": "CORA",
        "middle_name": "LEE",
        "name_prefix": "Miss",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-28",
        "last_updated": "2016-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynn Marie Gevik, APRN, CNP
• Mazen Ghani, MD
• Carolin Gharbi
• Yacine Tahar Gharbi, PHARM.D.
• Paresh Subashchandra Ghodge, MD
• Aprile Brown Gibson, M.D.
• Molly Mae Giebel, PA-C
• Mayte Paloma Margarita Gierbolini, MD
• Alayna Marie Gifford, CRNA
• Dana Leigh Gilbertson, LICSW

• Surgical Physician Assistant in Edina, MN
• Providers in Edina, MN by specialty
• Surgical Physician Assistant in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.