Paul Gibson, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1069 Issued in AK

Practice address

1118 N Muldoon Rd
Anchorage, AK 99504

Phone

(888) 227-3312

NPI assigned

Feb 13, 2007

Last updated

Mar 7, 2023By 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

Electronic endpoints 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/22724/brand/1/csg/1/fhir/r4
• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
• Direct secure messaging: pgibson581260@ak.providencedirect.org

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.

• Alaska Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Anchorage, AK
  • NPI 1518389303
  NPD (past)
• Atlas Medical Alaska LLC

  • Internal Medicine Physician
  • Wasilla, AK
  • NPI 1376213207
  NPD (past)
• Cable & McCormick Apc

  dba Diagnostic Imaging of AK

  • Diagnostic Radiology Physician
  • Anchorage, AK
  • NPI 1649275389
  NPD (past)
• Express Care Ak LLC

  • Clinic/Center
  • Eagle River, AK
  • NPI 1376003095
  NPD (past)
• Glacier Point Chiropractic

  • Chiropractor
  • Wasilla, AK
  • NPI 1720898695
  NPD (past)
• Rehabilitation Medicine Associates

  dba Alaska Spine Institute

  • Rehabilitation Practitioner
  • Anchorage, AK
  • NPI 1831194562
  NPD (past)
• Center for Bone & Joint Surgery LTD

  dba The Center for Bone & Joint Surgery

  • Orthopaedic Surgery Physician
  • Port Angeles, WA
  • NPI 1619921863
  NPD (past)
• Houston Hospitals Inc

  dba Emory Hospital Warner Robins

  • General Acute Care Hospital
  • Warner Robins, GA
  • NPI 1962435792
  NPD (past)

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1306988514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1118 N MULDOON RD",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995046109",
            "telephone_number": "888-227-3312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1118 N MULDOON RD",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "99504",
            "telephone_number": "888-227-3312"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3801 University Lake Dr",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "995084639",
            "country_code": "US",
            "telephone_number": "907-563-8876 x324",
            "fax_number": "907-762-6364",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3801 University Lake Dr",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "995084639",
            "country_code": "US",
            "telephone_number": "907-563-8876 x324",
            "fax_number": "907-762-6364",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "PAUL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-13",
        "last_updated": "2023-03-07",
        "certification_date": "2022-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WA",
            "license": "PA10004583",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AK",
            "license": "1069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pgibson581260@ak.providencedirect.org",
            "affiliation": "N",
            "address_1": "1861 E Parks Hwy",
            "city": "Wasilla",
            "state": "AK",
            "country_code": "US",
            "postal_code": "996547350",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pgibson581260@ak.providencedirect.org",
            "affiliation": "N",
            "address_1": "3801 University Lake Dr",
            "city": "Anchorage",
            "state": "AK",
            "country_code": "US",
            "postal_code": "995084639",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pgibson581260@ak.providencedirect.org",
            "affiliation": "N",
            "address_1": "1118 N Muldoon Rd",
            "city": "Anchorage",
            "state": "AK",
            "country_code": "US",
            "postal_code": "99504",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mary E Gibbs, LPC
• Thomas Gibbs, LMT
• Addison Nicole Dorris Gibson, LMT
• Brandi Cheyenne Gibson, RN
• Brenna Lynne Gibson, APRN, FNP-C
• Robert Randall Gibson, MD
• Roxanne Rochelle Gibson, RN
• Sarah Gibson
• Deborah Ann Gideon, PH.D.
• Meagan Marie Giebel, B.S.

• Physician Assistant in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Physician Assistant in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.

Verify at the official NPI Registry.