Active NPI
Joshua Gibson, PARAMEDIC
- Paramedic
- Flossmoor, IL
National Provider Identifier
1285318691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Paramedic
- License
- 000745208
- Practice address
- 2800 Flossmoor Rd
Flossmoor, IL 60422-1156 - Phone
- (708) 372-5294
- NPI assigned
- Jun 14, 2023
- Last updated
- Jun 14, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Paramedic | 146L00000X | 000745208 | IL | Primary |
Addresses
Primary practice location
2800 Flossmoor Rd
Flossmoor, IL 60422-1156
Mailing address
PO Box 564
Beecher, IL 60401
Phone (708) 372-5294
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000745208 | IL | MD | Paramedic |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686700800000",
"number": "1285318691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 564",
"city": "BEECHER",
"state": "IL",
"postal_code": "60401",
"telephone_number": "708-372-5294"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2800 FLOSSMOOR RD",
"city": "FLOSSMOOR",
"state": "IL",
"postal_code": "604221156",
"telephone_number": "708-372-5294"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBSON",
"first_name": "JOSHUA",
"credential": "PARAMEDIC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-06-14",
"last_updated": "2023-06-14",
"certification_date": "2023-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "146L00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Paramedic",
"state": "IL",
"license": "000745208",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flossmoor, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.