Timothy J Gibson, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

ARNP9320410 Issued in FL

Practice address

701 6TH St S
St Petersburg, FL 33701-4814

Phone

(727) 823-2188

Fax

(727) 828-0723

NPI assigned

Feb 27, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OK, AR2 enrollments

Enrollment records 2

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Triad Eye Institute PLLCGroup PAC ID 6507083557, 36 clinicians

South Tulsa Anesthesia LLCGroup PAC ID 1355634023, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

91.73 of 100Reported as group

Quality

95.73

Promoting interoperability

100

Improvement activities

40

Cost

76.7

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

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 and National Provider Directory roles.

• South Tulsa Anesthesia LLC

  • Anesthesiology Physician
  • Tulsa, OK
  • NPI 1104286640
  Medicare reassignment Care Compare group NPD
• Triad Eye Institute PLLC

  • Ophthalmology Physician
  • Tulsa, OK
  • NPI 1093743213

  AR

  Medicare reassignment Care Compare group NPD
• Emergenchealth PLLC

  • Anesthesiology Physician
  • Fort Worth, TX
  • NPI 1467970897

  Nurse Anesthetist, Certified Registered, OK

  Medicare reassignment NPD
• Anesthesia Associates of Oklahoma PLLC

  • Anesthesiology Physician
  • Tulsa, OK
  • NPI 1770891475
  Medicare reassignment
• Langley Holdings, LLC

  • Ambulatory Surgical Clinic/Center
  • Tulsa, OK
  • NPI 1225497019
  NPD
• West Florida Anesthesia Consultants, PA

  • Anesthesiology Physician
  • Bradenton, FL
  • NPI 1992753941

  Nurse Anesthetist, Certified Registered

  NPD (past)
• West Florida Anesthesia Trauma Services LLC

  • Anesthesiology Physician
  • Bradenton, FL
  • NPI 1619262813

  Nurse Anesthetist, Certified Registered

  NPD (past)
• PLW Anesthesia LLC

  • Certified Registered Nurse Anesthetist
  • Oklahoma City, OK
  • NPI 1700040680

  Nurse Anesthetist, Certified Registered

  NPD (past)
• St Joseph Anesthesia Services, P.C.

  • Pain Medicine (Anesthesiology) Physician
  • Kansas City, MO
  • NPI 1659384188
  NPD (past)

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

{
    "created_epoch": "1204070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440028800000",
    "number": "1518136126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 S UTICA AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741044012",
            "telephone_number": "918-744-3664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 6TH ST S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337014814",
            "telephone_number": "727-823-2188",
            "fax_number": "727-828-0723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "TIMOTHY",
        "middle_name": "J",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-27",
        "last_updated": "2015-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP9320410",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MO",
            "license": "2003005268",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003865300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FL",
            "identifier": "G00SE",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angie Gibney, LMHC
• Pamela Gibney, D.O.
• Christina Mary Gibson, FNP-C
• Philip Gibson, RN
• Rebecca Gibson
• William James Gibson, DO
• Amanda Michelle Gicka, APRN, FNP-BC
• Mindi D. Giglio, D.O.
• Bryan Gigliotti, M.S. CCC-SLP
• Beth Giguere

• Certified Registered Nurse Anesthetist in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Certified Registered Nurse Anesthetist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2015; 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.