Active NPI
Thomas Arthur Gibbs, DO
- Family Medicine Physician
- Alliance, OH
National Provider Identifier
1588764690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 34.004094
- Practice address
- 200 E State St FL 3
Alliance, OH 44601-4936 - Phone
- (330) 821-8503
- Fax
- (330) 627-0088
- NPI assigned
- Sep 25, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 34.004094 | OH | Primary |
Addresses
Primary practice location
200 E State St FL 3
Alliance, OH 44601-4936
Mailing address
624 Market Ave N
Canton, OH 44702-1017
Phone (330) 493-4553
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- West Virginia School of Osteopathic Medicine, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
624 Market Ave N
Canton, OH 44702-1017
Phone (330) 493-4553
Merit-based Incentive Payment System (MIPS)
- Final score
- 71.95 of 100
- Quality
- 69.92
- Promoting interoperability
- 21
- Improvement activities
- 40
- Cost
- 85.76
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4094 | OH | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phoenix Rising Behavioral Healthcare and Recovery Inc | Current | Accepting new patients | |
| Phoenix Rising Behavioral Healthcare and Recovery, Inc | Current | Accepting new patients | |
| Doctors Hospital Physician Services LLC | Family Medicine | Past | Accepting new patients |
| On Demand Counseling LLC | Past | Accepting new patients | |
| Doctors Hospital Physician Services LLC | Past | Accepting new patients |
Locations
1844 W State St
Alliance, OH 44601
Phone (330) 493-4553
624 Market Ave N
Canton, OH 44702
Phone (330) 454-7066
Organizations & group practices 6
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.
-
dba Phoenix Rising BHR
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- Canton, OH
- NPI 1891737292
-
- Addiction (Substance Use Disorder) Counselor
- Austintown, OH
- NPI 1093257859
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Canton, OH
- NPI 1710238613
-
dba Affinity Gastroenterology Services
- Endoscopy Clinic/Center
- Canton, OH
- NPI 1013319144
-
- Family Medicine Physician
- Massillon, OH
- NPI 1801858501
-
- Community/Behavioral Health Agency
- Austintown, OH
- NPI 1639793938
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707955200000",
"number": "1588764690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "624 MARKET AVE N",
"city": "CANTON",
"state": "OH",
"postal_code": "447021017",
"telephone_number": "330-493-4553",
"fax_number": "330-493-3761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 E STATE ST FL 3",
"city": "ALLIANCE",
"state": "OH",
"postal_code": "446014936",
"telephone_number": "330-821-8503",
"fax_number": "330-627-0088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBBS",
"first_name": "THOMAS",
"middle_name": "ARTHUR",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-25",
"last_updated": "2024-02-15",
"certification_date": "2024-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "34.004094",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alliance, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; 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.
- 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.