Richard A Gibula, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

41961 Issued in AZ

Practice address

1020 S Morning Light CT
Cornville, AZ 86325-5003

Phone

(941) 979-7007

NPI assigned

Oct 3, 2006

Last updated

Dec 11, 2012By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• North Country Healthcare, Inc.

  • Multi-Specialty Clinic/Center
  • Flagstaff, AZ
  • NPI 1073583472
  NPD
• North Country Healthcare, Inc.

  • Multi-Specialty Clinic/Center
  • Show Low, AZ
  • NPI 1073740098
  NPD
• North Country Healthcare, Inc.

  • Family Medicine Physician
  • Flagstaff, AZ
  • NPI 1619345675
  NPD
• North Country Healthcare, Inc.

  • Multi-Specialty Clinic/Center
  • Ash Fork, AZ
  • NPI 1942324686
  NPD
• Arizona Grand Medical Center PLLC

  dba Dewey Medical Center

  • Multi-Specialty Clinic/Center
  • Prescott, AZ
  • NPI 1619998705
  NPD (past)
• Emd Medical Services LLC

  dba Cherry Family Practice

  • Clinic/Center
  • Black Canyon City, AZ
  • NPI 1760669600
  NPD (past)
• Mikrut Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Prescott, AZ
  • NPI 1649223306
  NPD (past)
• Oracle Healthcare

  • Family Medicine Physician
  • Camp Verde, AZ
  • NPI 1396900122
  NPD (past)
• Callman and Valente M D S PA

  dba Premier Medical Group

  • Internal Medicine Physician
  • Port Charlotte, FL
  • NPI 1851339535
  NPD (past)
• Medical Pavilion Clinc

  • Preferred Provider Organization
  • Port Charlotte, FL
  • NPI 1063671683
  NPD (past)
• Vista Emergency Physicians LLC

  • Emergency Medicine Physician
  • Grants, NM
  • NPI 1609826916
  NPD (past)
• West Road Emergency Physicians

  • Emergency Medicine Physician
  • Roswell, NM
  • NPI 1053583948
  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355184000000",
    "number": "1376637611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 S MORNING LIGHT CT",
            "city": "CORNVILLE",
            "state": "AZ",
            "postal_code": "863255003",
            "telephone_number": "941-979-7007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 S MORNING LIGHT CT",
            "city": "CORNVILLE",
            "state": "AZ",
            "postal_code": "863255003",
            "telephone_number": "941-979-7007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBULA",
        "first_name": "RICHARD",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2012-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "41961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Desert Path
• Julie A Devlin, LCSW/LISW
• Travis Duwyenie
• Danielle Fink
• Kimberli Jo Galloway, RN
• Eve Grossman, LCC AC, RN
• Denise Muesch Helm, RDH
• Iconic Human Design, LLC
• King Taxi Az LLC
• Maryn Leister, L.M.

• Family Medicine Physician in Cornville, AZ
• Providers in Cornville, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.