Melissa Sue Gibson, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1339 Issued in OK

Practice address

9800 Broadway Ext Ste 201
Oklahoma City, OK 73114-6304

Phone

(405) 419-5665

Fax

(405) 419-5429

NPI assigned

Dec 18, 2006

Last updated

Oct 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Medical Center Pain Clinic, PLLC

  • Pain Clinic/Center
  • Oklahoma City, OK
  • NPI 1477829554
  NPD
• Global Physician Services LLC

  • Hospitalist Physician
  • Shawnee, OK
  • NPI 1508065343
  NPD (past)
• Hadley Ventures, Inc

  • Family Medicine Physician
  • Shawnee, OK
  • NPI 1356564413
  NPD (past)
• Oklahoma Cardiovascular Associates, PC

  dba Oklahoma Imaging Center

  • Cardiovascular Disease Physician
  • Oklahoma City, OK
  • NPI 1598759730
  NPD (past)
• TSG Physicians Group

  • Family Medicine Physician
  • Stroud, OK
  • NPI 1205884145
  NPD (past)

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539734400000",
    "number": "1326101700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9800 BROADWAY EXT STE 201",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731146304",
            "telephone_number": "405-419-5665",
            "fax_number": "405-419-5429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9800 BROADWAY EXT STE 201",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731146304",
            "telephone_number": "405-419-5665",
            "fax_number": "405-419-5429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "MELISSA",
        "middle_name": "SUE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-18",
        "last_updated": "2018-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "1339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keith Edward Gibson Jr., D.D.S.
• Kelsi Gibson
• Kristin Gibson, LPC
• Lisa C Gibson, MS, RD, LD
• Matthew William Gibson, DO
• Morgan Andrea Gibson, DNP
• Patsy G Gibson, B.S.W.
• Shanun Micaela Gibson, M.S.,CCC/SLP
• Sherita Dawn Gibson
• Steven L. Gibson, MD

• Physician Assistant in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Physician Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2018; 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.