Gordon L. Gibson, M. D., P. a.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

C4484 Issued in AR

Legal business name

GORDON L. GIBSON, M. D., P. A.

Practice address

106 Ridgeway
Suites a & B
Hot Springs,, AR 71901-7157

Phone

(501) 321-0547

Fax

(501) 321-0386

NPI assigned

Jul 13, 2011

Organization subpart

No

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

Authorized official

Name

Mrs. Kandi M McNeal

Title

Office Manager

Phone

(501) 227-7499

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1310515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388016000000",
    "number": "1639467442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1190",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720331190",
            "telephone_number": "501-227-7499",
            "fax_number": "501-504-2404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 RIDGEWAY",
            "address_2": "SUITES A & B",
            "city": "HOT SPRINGS,",
            "state": "AR",
            "postal_code": "719017157",
            "telephone_number": "501-321-0547",
            "fax_number": "501-321-0386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GORDON L. GIBSON, M. D., P. A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-13",
        "last_updated": "2013-12-26",
        "status": "A",
        "authorized_official_last_name": "MCNEAL",
        "authorized_official_first_name": "KANDI",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "501-227-7499",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "AR",
            "license": "C4484",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104488001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Monica Gonzalez, LAC
• Paula Gonzalez, NP
• Kayla M. Goodson, DDS
• Denise Nicole Gooley, CASE MGR
• Brittany N Gordey, LPC
• Amy Nicquel Gordon, MD
• Casey P. Gore, CRNA
• Russell McClain Gorman, DDS
• Russell S Gornichec, MD
• Brigitte Goslee

• Neurology Physician in Hot Springs,, AR
• Providers in Hot Springs,, AR by specialty
• Neurology Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2013; 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.