Active NPI
Frederick A Giberson, MD
- Surgical Critical Care Physician
- Newark, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Critical Care Physician
- License
- C10004905
- Practice address
- 4735 Ogletown Stanton Rd
Medical Arts Pavilion 2, Suite 3301
Newark, DE 19713-2072 - Phone
- (302) 623-4370
- Fax
- (302) 623-4375
- NPI assigned
- Dec 15, 2005
- Last updated
- Nov 29, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Critical Care Physician | 2086S0102X | C10004905 | DE | Primary |
| Surgery Physician | 208600000X | C1-0004905 | DE |
Addresses
Primary practice location
4735 Ogletown Stanton Rd
Medical Arts Pavilion 2, Suite 3301
Newark, DE 19713-2072
Mailing address
PO Box 30170
Wilmington, DE 19805-7170
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1401 Foulk Rd
Wilmington, DE 19803-2764
4755 Ogletown Stanton Rd
Newark, DE 19718-2200
501 W 14TH St
Wilmington, DE 19801-1013
501 W 14TH St FL
6 CCHS Infectious Disease
Wilmington, DE 19801-1013
Phone (302) 320-1300
501 W 14TH St Wilmington Hospital
Wilmington, DE 19801-1013
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 11 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C10004905 | DE | MD | Surgical Critical Care Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christiana Care Health Services, Inc | Current | Accepting new patients | |
| Christiana Care Health Services Inc | Current | Accepting new patients | |
| Christiana Care Health Services, Inc | Surgery | Current | Accepting new patients |
| Christiana Care Health Services, Inc. | Past | Accepting new patients |
Locations
4701 Ogletown Stanton Rd
Ste 1500
Newark, DE 19713
Phone (302) 623-4343
4735 Ogletown Stanton Rd
Newark, DE 19713
Phone (302) 292-1600
4735 Ogletown Stanton Rd
Ste 3301
Newark, DE 19713
Phone (302) 623-4370
1401 Foulk Rd
Ste 100B
Wilmington, DE 19803
Phone (302) 320-9440
501 W 14th St
#4154
Wilmington, DE 19801
Phone (302) 428-4175
Organizations & group practices 4
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.
-
dba CCHS Pmri
- Endocrinology, Diabetes & Metabolism Physician
- Wilmington, DE
- NPI 1770568107
-
dba CCHS Chief's Surgical Services
- Surgery Physician
- Wilmington, DE
- NPI 1952385122
-
dba CCHS Concord - Neurology
- Neurology Physician
- Chadds Ford, PA
- NPI 1881228484
-
dba Christiana Care
- General Acute Care Hospital
- Wilmington, DE
- NPI 1134194038
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Christiana Care
- General Acute Care Hospital
- Wilmington, DE
- NPI 1134194038
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322524800000",
"number": "1245215979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 30170",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198057170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4735 OGLETOWN STANTON RD",
"address_2": "MEDICAL ARTS PAVILION 2, SUITE 3301",
"city": "NEWARK",
"state": "DE",
"postal_code": "197132072",
"telephone_number": "302-623-4370",
"fax_number": "302-623-4375"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBERSON",
"first_name": "FREDERICK",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-15",
"last_updated": "2011-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "DE",
"license": "C10004905",
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "DE",
"license": "C1-0004905",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newark, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.