Warren D. Gibson

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

WARREN D. GIBSON

Practice address

1629 Highway 544
Conway, SC 29526-8452

Phone

(843) 347-7281

Fax

(843) 347-9785

NPI assigned

Aug 5, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Warren D GibsonNPI 1528031101

Title

Pratitioner

Phone

(843) 347-7281

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Waccamaw Prosthetics and Orthotics Doing business as

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Warren Douglas Gibson

  • Prosthetic/Orthotic Supplier
  • Conway, SC
  • NPI 1528031101
  NPD Authorized official

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214784000000",
    "number": "1508057779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1629 HIGHWAY 544",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295268452",
            "telephone_number": "843-347-7281",
            "fax_number": "843-347-9785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1629 HIGHWAY 544",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295268452",
            "telephone_number": "843-347-7281",
            "fax_number": "843-347-9785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARREN D. GIBSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2008-06-30",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "WARREN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRATITIONER",
        "authorized_official_telephone_number": "843-347-7281",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DE2045",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Waccamaw Prosthetics and Orthotics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Edward Alton Wallace, MD
• Walmart Pharmacy
• Florian Aidan Walter, DO
• Jamie Warbutton
• Mary Ward, MS, LPC
• Brandie Warren, PHARM.D.
• Brittany Michelle Wartluft
• Dode Nobia Washington, M.D.
• Erin Watson, M.D.
• M Jennifer Wattenbarger, M.ED., LPC

• Prosthetic/Orthotic Supplier in Conway, SC
• Providers in Conway, SC by specialty
• Prosthetic/Orthotic Supplier in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.