Michael T Gibbons, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

ARNP2948472 Issued in FL

Practice address

421 SE Osceola St
Ste 3
Stuart, FL 34994-2505

Phone

(772) 286-0338

Fax

(772) 287-1139

NPI assigned

Mar 16, 2006

Last updated

Jul 15, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in FL, SC2 enrollments

Enrollment records 2

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Beach Anesthesia, LLCGroup PAC ID 6103924014, 91 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Beach Anesthesia, LLC

  • Anesthesiology Physician
  • Myrtle Beach, SC
  • NPI 1215061429
  Medicare reassignment Care Compare group NPD
• Treasure Coast Anesthesia Group PA

  • Anesthesiology Physician
  • Stuart, FL
  • NPI 1013350875

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Anesthesia Consultants of Knoxville, PC

  • Anesthesiology Physician
  • Knoxville, TN
  • NPI 1669449518

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Covenant Anesthesia Group, PC

  dba MMC Anesthesia Group, PC

  • Anesthesiology Physician
  • Oak Ridge, TN
  • NPI 1639148117
  NPD (past)

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279152000000",
    "number": "1184693574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 868",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349950868",
            "telephone_number": "772-286-0338",
            "fax_number": "772-287-1139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 SE OSCEOLA ST",
            "address_2": "STE 3",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942505",
            "telephone_number": "772-286-0338",
            "fax_number": "772-287-1139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBBONS",
        "first_name": "MICHAEL",
        "middle_name": "T",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-16",
        "last_updated": "2010-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "146302",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP2948472",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSING LICENSE #",
            "identifier": "146302",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA MEDICARE",
            "identifier": "AQ780Z",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FLORIDA",
            "identifier": "G4647",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0004722-00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brooke Giancaterino
• Bianca Giancoli
• Laura Lee Giandomenico, ARNP
• Tabitha Giaquinto, LCSW
• Melissa Giarratano, APRN
• Cassandra Lynn Gibbs
• David Allen Gibbs, LMHC
• Julia Danielle Gibbs, BEHAVIORAL TECH
• Alexis Gibson
• K'Mari Gibson

• Certified Registered Nurse Anesthetist in Stuart, FL
• Providers in Stuart, FL by specialty
• Certified Registered Nurse Anesthetist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2010; 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.