Jennifer Wall Gibbens, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

14758 Issued in OK

Practice address

4444 E 41St St
Tulsa, OK 74135-2527

Phone

(918) 619-4400

Fax

(918) 619-4216

NPI assigned

May 28, 2006

Last updated

Nov 12, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: jgibbsen327685@ahs.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• PLW Anesthesia LLC

  • Certified Registered Nurse Anesthetist
  • Oklahoma City, OK
  • NPI 1700040680
  NPD (past)

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605139200000",
    "number": "1598712291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 268838",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731268838",
            "telephone_number": "918-619-4200",
            "fax_number": "918-619-4216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4444 E 41ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741352527",
            "telephone_number": "918-619-4400",
            "fax_number": "918-619-4216"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9001 S 101st East Ave",
            "address_2": "Suite 350",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741335708",
            "country_code": "US",
            "telephone_number": "918-293-6200",
            "fax_number": "918-293-6245",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIBBENS",
        "first_name": "JENNIFER",
        "middle_name": "WALL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-28",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OK",
            "license": "14758",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100095860A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michele Ann Geyer, ED.D
• Haysam Ghannoum, MD
• Stephanie Ghazal, EDS., NCSP
• Merhawit Ghebrehiwet
• Scott Anthony Ghere, DO
• Chasity Gibbons
• Courtnay Elizabeth Gibbons, M.S. CCC SLP
• Matthew Byron Gibbons
• Braden Alexander Gibbs, LPC
• Jamie Gibbs

• Obstetrics & Gynecology Physician in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Obstetrics & Gynecology Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2020; 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.