Active NPI
John E Gibbs, MD
- Physical Medicine & Rehabilitation Physician
- Mechanicsville, VA
National Provider Identifier
1710195342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 0101243092
- Practice address
- 8254 Atlee Rd
Mechanicsville, VA 23116-1844 - Phone
- (804) 342-4335
- Fax
- (804) 342-4316
- NPI assigned
- May 18, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 0101243092 | VA | Primary |
Addresses
Primary practice location
8254 Atlee Rd
Mechanicsville, VA 23116-1844
Mailing address
8254 Atlee Rd
Mechanicsville, VA 23116-1844
Phone (804) 342-4335
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2196449 | Other | VA | CIGNA |
| 352444 | Other | VA | ANTHEM/HEALTHKEEPERS |
| 1710195342 | Medicaid | VA |
Other names 1
- Dr. John E Gibbs
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101243092 | VA | MD | Physical Medicine & Rehabilitation Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217462400000",
"number": "1710195342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8254 ATLEE RD",
"city": "MECHANICSVILLE",
"state": "VA",
"postal_code": "231161844",
"telephone_number": "804-342-4335",
"fax_number": "804-342-4316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8254 ATLEE RD",
"city": "MECHANICSVILLE",
"state": "VA",
"postal_code": "231161844",
"telephone_number": "804-342-4335",
"fax_number": "804-342-4316"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBBS",
"first_name": "JOHN",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-18",
"last_updated": "2008-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "VA",
"license": "0101243092",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "2196449",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM/HEALTHKEEPERS",
"identifier": "352444",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1710195342",
"state": "VA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JOHN",
"last_name": "GIBBS",
"middle_name": "E",
"prefix": "DR.",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Mechanicsville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.