Kathleen Patricia Bernice Gibbs, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

35088699 Issued in OH

Practice address

3333 W Tech Rd Ste 120
Miamisburg, OH 45342-0956

Phone

(937) 748-6116

Fax

(937) 291-6956

NPI assigned

Apr 3, 2007

Last updated

Oct 17, 2023By 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 2

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Dayton Children's Specialty Physicians, Inc.

  • Pediatrics Physician
  • Dayton, OH
  • NPI 1225192610
  Medicare reassignment NPD
• Dayton Children's Specialty Physicians, Inc.

  • Pediatrics Physician
  • Dayton, OH
  • NPI 1780467555
  NPD

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697500800000",
    "number": "1669593604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 933432",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441930039",
            "telephone_number": "937-641-3555",
            "fax_number": "937-641-4528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 W TECH RD STE 120",
            "city": "MIAMISBURG",
            "state": "OH",
            "postal_code": "453420956",
            "telephone_number": "937-748-6116",
            "fax_number": "937-291-6956"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "243 W Central Ave",
            "address_purpose": "LOCATION",
            "city": "Springboro",
            "state": "OH",
            "postal_code": "450661103",
            "country_code": "US",
            "telephone_number": "937-748-4814",
            "fax_number": "937-748-4896",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1425 N Fairfield Rd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Beavercreek",
            "state": "OH",
            "postal_code": "454322674",
            "country_code": "US",
            "telephone_number": "937-320-3888",
            "fax_number": "937-320-3848",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8501 Old Troy Pike Ste 120",
            "address_purpose": "LOCATION",
            "city": "Huber Heights",
            "state": "OH",
            "postal_code": "454241061",
            "country_code": "US",
            "telephone_number": "937-237-4945",
            "fax_number": "937-237-4925",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1152 W 3rd St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454026848",
            "country_code": "US",
            "telephone_number": "937-268-3483",
            "fax_number": "937-268-1884",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Rockridge Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Englewood",
            "state": "OH",
            "postal_code": "453222751",
            "country_code": "US",
            "telephone_number": "937-836-9921",
            "fax_number": "937-836-1298",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6651 Centerville Business Pkwy Ste 110",
            "address_purpose": "LOCATION",
            "city": "Centerville",
            "state": "OH",
            "postal_code": "454592689",
            "country_code": "US",
            "telephone_number": "937-291-6850",
            "fax_number": "937-291-6896",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIBBS",
        "first_name": "KATHLEEN",
        "middle_name": "PATRICIA BERNICE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-03",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35088699",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2766449",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "35.088699",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Molly Gearin, PT, DPT, CSCS
• Courtney Gentry
• Erica Shelby Gentry, SPECIALIST
• Molly Getz, CNP
• Kaytlyn Marie Gevedon
• Danielle Loriel Gibson, APRN, PMHNP-BC
• Gigis Operations, LLC Dba Gigi's Place on Spring Valley
• Eric Alan Gill Walter, MD
• Myles Gilliland, RBT
• Kari Lynn Giovanelli, BS, RBT

• Pediatrics Physician in Miamisburg, OH
• Providers in Miamisburg, OH by specialty
• Pediatrics Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.