Active NPI
Alexandra L Gibas, MD
- Hepatology Physician
- Lancaster, PA
National Provider Identifier
1679661292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hepatology Physician
- License
- MD050342L
- Practice address
- 2104 Harrisburg Pike Ste 300
Lancaster, PA 17601-2644 - Phone
- (717) 544-3400
- Fax
- (717) 544-3400
- NPI assigned
- Oct 10, 2006
- Last updated
- Jun 15, 2012
- 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 |
|---|---|---|---|---|
| Hepatology Physician | 207RI0008X | MD050342L | PA | Primary |
Addresses
Primary practice location
2104 Harrisburg Pike Ste 300
Lancaster, PA 17601-2644
Mailing address
2104 Harrisburg Pike Ste. 300
PO Box 3200
Lancaster, PA 17604
Phone (717) 544-3400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0014308570003 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midatlantic Endoscopy LLC | Current | Accepting new patients |
Locations
2104 Harrisburg Pike
Ste 300
Lancaster, PA 17601
Phone (717) 544-3400
Organizations & group practices 1
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.
-
dba Mid-Atlantic Gastrointestinal Center
- Ambulatory Surgical Clinic/Center
- Lancaster, PA
- NPI 1255872784
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": "1339718400000",
"number": "1679661292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2104 HARRISBURG PIKE STE. 300",
"address_2": "PO BOX 3200",
"city": "LANCASTER",
"state": "PA",
"postal_code": "17604",
"telephone_number": "717-544-3400",
"fax_number": "717-544-3400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2104 HARRISBURG PIKE STE 300",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176012644",
"telephone_number": "717-544-3400",
"fax_number": "717-544-3400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBAS",
"first_name": "ALEXANDRA",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-10",
"last_updated": "2012-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0008X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hepatology",
"state": "PA",
"license": "MD050342L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0014308570003",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lancaster, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.