Individual provider Active NPI

Alexandra L Gibas, MD

  • Hepatology Physician
  • Lancaster, PA
National Provider Identifier
1679661292
Registry record updated Jun 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hepatology PhysicianTaxonomy code 207RI0008X
License
MD050342L Issued in PA
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, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0014308570003MedicaidPA

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

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.