Individual provider Active NPI

Sara Beth Gibson, M.D.

  • Obstetrics & Gynecology Physician
  • The Woodlands, TX
National Provider Identifier
1336307446
Registry record updated Jun 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
M8673 Issued in TX
Practice address
17198 St. Luke'S Way
Suite 440
The Woodlands, TX 77384-8015
Phone
(936) 266-2500
Fax
(936) 321-4120
NPI assigned
May 26, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X M8673 TX Primary

Addresses

Primary practice location

17198 St. Luke'S Way
Suite 440
The Woodlands, TX 77384-8015

Mailing address

17198 St. Luke'S Way
Suite 440
The Woodlands, TX 77384-8015
Phone (936) 266-2500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100820001028 TX Practitioner - Obstetrics/Gynecology 9335273648 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Texas Tech University Health Science Center School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baylor St. Luke'S Medical GroupGroup PAC ID 9133213192, 172 clinicians

Practice addresses (Care Compare)

17198 St Lukes Way
Suite 440
The Woodlands, TX 77384-8015
Phone (936) 266-2500

Hospital & facility affiliations

  • St Luke'S the Woodlands Hospital Hospital, The Woodlands, TX, CCN 450862
  • HCA Houston Healthcare Conroe Hospital, Conroe, TX, CCN 450222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Baylor St. Luke'S Medical Group CurrentSince Jan 1, 2014 Accepting new patients
St. Luke'S Community Health Services Past Accepting new patients

Locations

6624 Fannin St
Ste 1240
Houston, TX 77030
Phone (832) 355-5575

20207 Chasewood Park Dr
Ste 300
Houston, TX 77070
Phone (832) 534-7800

2 Greenway Plz
Ste 900
Houston, TX 77046
Phone (713) 798-1835

17198 St Lukes Way
Ste 440
The Woodlands, TX 77384
Phone (936) 266-2500

17200 St Lukes Way
Ste 170
The Woodlands, TX 77384
Phone (713) 703-6487

17350 St Lukes Way
Ste 400
The Woodlands, TX 77384
Phone (832) 249-3721

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JIHBCA

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1211760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402531200000",
    "number": "1336307446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17198 ST. LUKE'S WAY",
            "address_2": "SUITE 440",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773848015",
            "telephone_number": "936-266-2500",
            "fax_number": "936-321-4120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17198 ST. LUKE'S WAY",
            "address_2": "SUITE 440",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773848015",
            "telephone_number": "936-266-2500",
            "fax_number": "936-321-4120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "SARA",
        "middle_name": "BETH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-26",
        "last_updated": "2014-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "M8673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Woodlands, TX

Sources for this page

Verify at the official NPI Registry.