Anna Katherine Clark Gibson, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

2011007284 Issued in MO

Practice address

2521 Glenn Hendren Dr Ste 108
Liberty, MO 64068-3388

Phone

(816) 781-3515

NPI assigned

Jul 13, 2006

Last updated

Jul 21, 2022By 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 3

Medicare fee-for-service enrollment

Enrolled in MO

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

Specialty

General Surgery

Education

University of Oklahoma College of Medicine, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

New Liberty Hospital CorporationGroup PAC ID 9931166618, 135 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Liberty Hospital Hospital, Liberty, MO, CCN 260177

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/gemms-ced01
• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.891

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.

• New Liberty Hospital Corporation

  dba The Kearney Clinic

  • Family Medicine Physician
  • Kearney, MO
  • NPI 1669734661
  Medicare reassignment Care Compare group NPD
• Mercy Clinic Joplin LLC

  • Family Medicine Physician
  • Joplin, MO
  • NPI 1215264817

  Surgery

  Medicare reassignment NPD
• Heartland Regional Medical Center

  dba Mosaic Life Care

  • General Practice Physician
  • Saint Joseph, MO
  • NPI 1477575405
  NPD (past)
• Midwestern Health Management, Inc.

  • Family Medicine Physician
  • Saint Joseph, MO
  • NPI 1104962901
  NPD (past)
• New Liberty Hospital Coporation

  dba Liberty Hospital Primary Care Shoal Creek

  • Family Medicine Physician
  • Kansas City, MO
  • NPI 1821518630
  NPD (past)
• Carolinas Medical Alliance, Inc

  dba Coleman Family Practice

  • Rural Health Clinic/Center
  • Pamplico, SC
  • NPI 1023238490
  NPD (past)
• Cedar Surgical LLC

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Andover, KS
  • NPI 1336289123
  NPD (past)
• Mid America Surgical Associates

  • Surgery Physician
  • Wichita, KS
  • NPI 1710948906
  NPD (past)
• Midwest Surgical, P.a.

  • Surgery Physician
  • Andover, KS
  • NPI 1477586030
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• New Liberty Hospital Corporation

  • General Acute Care Hospital
  • Liberty, MO
  • NPI 1548001464
  Care Compare affiliation

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1700801073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 219672",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641219672",
            "telephone_number": "816-407-4200",
            "fax_number": "816-781-6973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2521 GLENN HENDREN DR STE 108",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640683388",
            "telephone_number": "816-781-3515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK GIBSON",
        "first_name": "ANNA",
        "middle_name": "KATHERINE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MO",
            "license": "2011007284",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "309393",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "35789048",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID NC",
            "identifier": "5909852",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cynthia M Chweya, MD
• Susan Cimino
• Jasmine Cisler
• City of Liberty (Liberty Fire Department)
• Rebecca S Clancy
• Crystal Clark
• Emma C Clark, CF-SLP
• Janet M Clark, APRN, NP-C
• Steven James Clary, MD
• Joni H. Clausen, MA, LPC

• Surgery Physician in Liberty, MO
• Providers in Liberty, MO by specialty
• Surgery Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.