Warren Douglas Gibson

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Practice address

1629 Highway 544
Conway, SC 29526-8452

Phone

(843) 347-7281

Fax

(843) 347-9785

NPI assigned

Feb 13, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Warren D. Gibson

  • Prosthetic/Orthotic Supplier
  • Conway, SC
  • NPI 1508057779
  NPD Authorized official

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194480000000",
    "number": "1528031101",
    "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": {
        "last_name": "GIBSON",
        "first_name": "WARREN",
        "middle_name": "DOUGLAS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-13",
        "last_updated": "2007-11-08",
        "status": "A"
    },
    "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": []
}

• Kaniya Geathers
• Michelle Gelfand, MS RD
• Tiffany Denise Gerald, PHARMD
• Amanda Gerrald
• Ashley Morgan Keating Gibbs, FNP-BC
• Alyssa Gideon, RN
• Hannah Elizabeth Gier
• Grace Gifford, CCC-SLP
• Mary Gilchrist
• Pamela Michelle Gilmore, APRN

• 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 Nov 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.