Mark E Gibbs, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

K2701 Issued in TX

Practice address

1625 N Grand Ave
Gainesville, TX 76240

Phone

(940) 665-9863

Fax

(940) 668-8986

NPI assigned

Nov 19, 2005

Last updated

Nov 21, 2007By the provider in NPPES

Sex

Male

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: markgibbs@mlgk.allscriptsdirect.net

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.

• Mark E Gibbs MD. & Associates LLC

  • Family Medicine Physician
  • Gainesville, TX
  • NPI 1649445339
  Authorized official Same address or phone
• Justin Family Medical

  • Primary Care Clinic/Center
  • Justin, TX
  • NPI 1194175604
  NPD (past)

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

{
    "created_epoch": "1132358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195603200000",
    "number": "1619959004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1239",
            "city": "GAINESVILLE",
            "state": "TX",
            "postal_code": "762411239",
            "telephone_number": "940-665-9863",
            "fax_number": "940-668-8986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 N GRAND AVE",
            "city": "GAINESVILLE",
            "state": "TX",
            "postal_code": "76240",
            "telephone_number": "940-665-9863",
            "fax_number": "940-668-8986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBBS",
        "first_name": "MARK",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-19",
        "last_updated": "2007-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K2701",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130562502",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0019DN",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gainesville Smiles (Smart Mouth Family Dental)
• Gainesville Speech and Language Services PLLC
• Gainesville Star Dialysis
• Gainsville Allergy, ENT and Plastic Surgery
• Kathleen Ann Garrett
• Christie Gibson, PA
• Amanda Gillham
• Glasses 4 You LLC (My EyeLab)
• Glasses 4 You LLC (My EyeLab)
• Susan Kay Gleaton, RD

• Family Medicine Physician in Gainesville, TX
• Providers in Gainesville, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.