Gerald Gibbons MD LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

GERALD GIBBONS MD LLC

Practice address

1620 Highway 315 Blvd Ste 1
Wilkes Barre, PA 18702-7125

Phone

(570) 237-5445

NPI assigned

May 23, 2023

Last updated

May 23, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gerald Gibbons Jr., MDNPI 1336147883

Title

Medical Director

Phone

(570) 237-5445

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gerald P Gibbons Jr., M.D.

  • Internal Medicine Physician
  • Wilkes Barre, PA
  • NPI 1336147883
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1684800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684800000000",
    "number": "1336831940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 HIGHWAY 315 BLVD STE 1",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187027125",
            "telephone_number": "570-237-5445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 HIGHWAY 315 BLVD STE 1",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187027125",
            "telephone_number": "570-237-5445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERALD GIBBONS MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-23",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A",
        "authorized_official_last_name": "GIBBONS",
        "authorized_official_first_name": "GERALD",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "570-237-5445",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Gensel
• George Ritz MD PC
• Asha George, PT
• Brandon Jay George
• Sean Kevin George, D.O.
• Gerald Maloney DO PC
• Emily Virginia Geras, CRNP
• Tracy A Gercak, RN
• Mallory Ann Getts, PA-C
• Lynne Marie Getz

• Internal Medicine Physician in Wilkes Barre, PA
• Providers in Wilkes Barre, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2023; 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.