Organization Active NPI

Smith H. Gibson MD,PSC

  • Specialist
  • Covington, KY
National Provider Identifier
1134268543
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
10887 Issued in KY
Legal business name
SMITH H. GIBSON MD,PSC
Doing business as
Smith H. Gibson MD,PSC
Practice address
726 Greenup St
Covington, KY 41011-2526
Phone
(859) 261-2125
Fax
(859) 261-2126
NPI assigned
Feb 5, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Smith Hyson Gibson, M.D.
Title
President
Phone
(859) 261-2125

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 10887 KY Primary

Addresses

Primary practice location

726 Greenup St
Covington, KY 41011-2526

Mailing address

726 Greenup St
Covington, KY 41011-2526
Phone (859) 261-2125

Other names 1

  • Smith H. Gibson MD,PSC Doing business as

National Provider Directory

National Provider Directory

Locations

726 Greenup St
Covington, KY 41011
Phone (859) 261-2125

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1134268543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "726 GREENUP ST",
            "city": "COVINGTON",
            "state": "KY",
            "postal_code": "410112526",
            "telephone_number": "859-261-2125",
            "fax_number": "859-261-2126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "726 GREENUP ST",
            "city": "COVINGTON",
            "state": "KY",
            "postal_code": "410112526",
            "telephone_number": "859-261-2125",
            "fax_number": "859-261-2126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITH H. GIBSON MD,PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "SMITH",
        "authorized_official_middle_name": "HYSON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "859-261-2125",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "KY",
            "license": "10887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smith H. Gibson MD,PSC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Covington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.