Active NPI
Stephanie Francis Gibson, M.D.
- Family Medicine Physician
- Norwalk, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 35079818G
- Practice address
- 85 Benedict Ave
Suite 101
Norwalk, OH 44857-2112 - Phone
- (419) 660-1717
- Fax
- (419) 660-1718
- NPI assigned
- Oct 10, 2006
- Sex
- Female
- 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 | 35079818G | OH | Primary |
Addresses
Primary practice location
85 Benedict Ave
Suite 101
Norwalk, OH 44857-2112
Mailing address
85 Benedict Ave
Suite 101
Norwalk, OH 44857-9566
Phone (419) 660-1717
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2281392 | Medicaid | OH |
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
- Ohio State University College of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
28 Executive Dr
Norwalk, OH 44857-2480
Phone 4196681652248
85 Benedict Ave
Norwalk, OH 44857-2112
Phone (419) 660-1717
Hospital & facility affiliations
- Fisher-Titus Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35079818G | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Executive Court Medical Associates Inc. | Family Medicine | Current | Accepting new patients |
| University Family Physicians, Inc. | Family Medicine | Past | Accepting new patients |
Locations
2114 State Route 113 E
Milan, OH 44846
Phone (419) 499-4500
54 Executive Dr
Ste A
Norwalk, OH 44857
Phone (419) 668-5607
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Norwalk, OH
- NPI 1972959534
-
- Public Health or Welfare Agency
- Norwalk, OH
- NPI 1588619696
-
- Family Medicine Physician
- Norwalk, OH
- NPI 1184794885
-
- Family Medicine Physician
- Cincinnati, OH
- NPI 1609842087
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Norwalk, OH
- NPI 1992738959
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395705600000",
"number": "1619065141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "85 BENEDICT AVE",
"address_2": "SUITE 101",
"city": "NORWALK",
"state": "OH",
"postal_code": "448579566",
"telephone_number": "419-660-1717",
"fax_number": "419-660-1718"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "85 BENEDICT AVE",
"address_2": "SUITE 101",
"city": "NORWALK",
"state": "OH",
"postal_code": "448572112",
"telephone_number": "419-660-1717",
"fax_number": "419-660-1718"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBSON",
"first_name": "STEPHANIE",
"middle_name": "FRANCIS",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-10",
"last_updated": "2014-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "35079818G",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2281392",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Norwalk, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2014; 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.