Charles Clarence Gibbs, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

136590 Issued in NY

Practice address

253 County Route 47
Saranac Lake, NY 12983-5403

Phone

(518) 891-2660

Fax

(518) 891-2663

NPI assigned

Jan 23, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

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.

• Adirondack Anesthesia Services, PC

  • Anesthesiology Physician
  • Saranac Lake, NY
  • NPI 1013950799
  NPD (past) Authorized official
• Premier Anesthesia of New York, P.C.

  • Anesthesiology Physician
  • Saranac Lake, NY
  • NPI 1063658961
  NPD (past)

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316917446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 890",
            "city": "SARANAC LAKE",
            "state": "NY",
            "postal_code": "129830890",
            "telephone_number": "518-891-2660",
            "fax_number": "518-891-2663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "253 COUNTY ROUTE 47",
            "city": "SARANAC LAKE",
            "state": "NY",
            "postal_code": "129835403",
            "telephone_number": "518-891-2660",
            "fax_number": "518-891-2663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBBS",
        "first_name": "CHARLES",
        "middle_name": "CLARENCE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "136590",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS WORKERS' COMP",
            "identifier": "136590-1",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00602433",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Garnsey, PA-C
• Ashley Garwood, OT
• Robin Gay
• Emily Gedney, PA-C
• Joni Kristina Gerken, RD
• Sally M Gilpin, LCSW-R
• Howard Glass, RPA
• Megan Glennon, MSW
• David J. Griffin, PA
• Richard P Handler, MD

• Anesthesiology Physician in Saranac Lake, NY
• Providers in Saranac Lake, NY by specialty
• Anesthesiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.