Marilyn Achille Gibbs, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD00025090 Issued in WA

Practice address

7440 Pacific Ave
Tacoma, WA 98408-7117

Phone

(253) 475-0511

NPI assigned

Aug 3, 2006

Sex

Female

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 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: mgibbs13013@direct.valleymed.org

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.

• Associated Emergency Room Physicians, Inc P.S.

  • Emergency Medicine Physician
  • Renton, WA
  • NPI 1861480840
  NPD (past)
• South Hill General Medical Clinic

  • General Practice Physician
  • Puyallup, WA
  • NPI 1801827068
  NPD (past)
• Spanaway General Medical Clinic

  • General Practice Physician
  • Tacoma, WA
  • NPI 1770514937
  NPD (past)

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592179200000",
    "number": "1235147653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7440 PACIFIC AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984087117",
            "telephone_number": "253-475-0511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7440 PACIFIC AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984087117",
            "telephone_number": "253-475-0511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBBS",
        "first_name": "MARILYN",
        "middle_name": "ACHILLE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-03",
        "last_updated": "2020-06-15",
        "certification_date": "2020-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "WA",
            "license": "MD00025090",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD00025090",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BS PROV#",
            "identifier": "GI0004",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR& IND PROV #",
            "identifier": "0185265",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8133985",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jasleen Kaur Ghuman, MD
• Kathy Diemthy Giang
• Stephanie Giaquinto, AU.D.
• Tammy Lin Giauque
• Emma Gibbs, CO
• Tanner Ross Gibbs, LMP
• Isabel Gibson, MD
• Judith Louise Gibson, LMP
• Lori Gibson, REGISTERED NURSE
• Sydney Gibson

• Internal Medicine Physician in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Internal Medicine Physician in Washington

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