Geoffrey J. Gibson DO PA

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

OS-0006669 Issued in FL

Legal business name

GEOFFREY J. GIBSON DO PA

Practice address

1501 5TH Ave N
St Petersburg, FL 33705-2008

Phone

(727) 430-5442

NPI assigned

May 23, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Geoffrey James Gibson, D.O.NPI 1750476255

Title

Owner

Phone

(727) 430-5433

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

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.

• Geoffrey James Gibson, D.O.

  • Physical Medicine & Rehabilitation Physician
  • Largo, FL
  • NPI 1750476255
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1369267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369267200000",
    "number": "1164869681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7901 SEMINOLE BLVD",
            "address_2": "(1205)",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337724828",
            "telephone_number": "727-430-5433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 5TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337052008",
            "telephone_number": "727-430-5442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEOFFREY J. GIBSON DO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-23",
        "last_updated": "2013-05-23",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "GEOFFREY",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-430-5433",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "OS-0006669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• George Anthony Figueroa, M.D.
• Alyssa George
• Aquilina George
• Cintia Elizabeth George, AHCA
• Demetria George, APRN

• Physical Medicine & Rehabilitation Physician in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Physical Medicine & Rehabilitation Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.