James a. Gibson, M.D., P.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4301065590 Issued in MI

Legal business name

JAMES A. GIBSON, M.D., P.C.

Practice address

5784 Highland Rd
Waterford, MI 48327-1876

Phone

(248) 673-6667

Fax

(248) 673-7224

NPI assigned

Sep 5, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Rene S Gibson

Title

Office Manager

Phone

(248) 431-8592

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14305/brand/1/csg/1/fhir/r4

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James Arthur Gibson, M.D.

  • Internal Medicine Physician
  • Waterford, MI
  • NPI 1104838655
  Medicare reassignment Care Compare group NPD
• Joey Sheroski, AGNP-C

  • Gerontology Nurse Practitioner
  • Grand Blanc, MI
  • NPI 1306576871

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Rochelle Harris, NP

  • Family Nurse Practitioner
  • Highland Park, MI
  • NPI 1184083974
  Medicare reassignment NPD

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

{
    "created_epoch": "1188950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288137600000",
    "number": "1285828095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5784 HIGHLAND RD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483271876",
            "telephone_number": "248-673-6667",
            "fax_number": "248-673-7234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5784 HIGHLAND RD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483271876",
            "telephone_number": "248-673-6667",
            "fax_number": "248-673-7224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES A. GIBSON, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-05",
        "last_updated": "2010-10-27",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "RENE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "248-431-8592",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301065590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline C Vaughn DC PC
• Rutuja Hambirrao Jadhav, MS
• Jerome Alan Jaffee, DDS
• Jallow Kia Enterprise LLC
• Alieu Essa Jallow
• James E. Locascio, D.D.S.P.C.
• Jasmine Jamoua
• Jack D Janigian, DPM
• Jas Consultants
• Jeffrey B Klein DPM PC

• Internal Medicine Physician in Waterford, MI
• Providers in Waterford, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2010; 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.