J Scott Gibson MD PC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

MD14370 Issued in OR

Legal business name

J SCOTT GIBSON MD PC

Practice address

851 NE Baker St Ste 3
McMinnville, OR 97128-4991

Phone

(503) 472-0888

Fax

(503) 434-7246

NPI assigned

Dec 11, 2008

Organization subpart

No

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

Authorized official

Name

J Scott Gibson, MD

Title

President

Phone

(503) 472-0888

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

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.

• John Scott Gibson, MD

  • Internal Medicine Physician
  • McMinnville, OR
  • NPI 1255433520

  Gastroenterology

  Medicare reassignment NPD

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

{
    "created_epoch": "1228953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228953600000",
    "number": "1508001074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 NE BAKER ST STE 3",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971284991",
            "telephone_number": "503-472-0888",
            "fax_number": "503-434-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 NE BAKER ST STE 3",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971284991",
            "telephone_number": "503-472-0888",
            "fax_number": "503-434-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J SCOTT GIBSON MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-11",
        "last_updated": "2008-12-11",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "J SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-472-0888",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "OR",
            "license": "MD14370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Integricare, Inc.
• Sharon Ison
• Megan Iversen
• Melissa Ivey
• J Black No LLC
• Katrina Jacobs, QMHA
• Barbara Jager
• Licci Jaimes, PSYD
• Mary Jake
• Julia Jakubowski

• Gastroenterology Physician in McMinnville, OR
• Providers in McMinnville, OR by specialty
• Gastroenterology Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2008; 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.