Laurence F Gibson, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

036101520 Issued in IL

Practice address

1 S Greenleaf St
Ste a
Gurnee, IL 60031-3370

Phone

(847) 856-2525

Fax

(847) 856-1969

NPI assigned

Nov 9, 2005

Sex

Male

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 1

Medicare fee-for-service enrollment

Enrolled in NM

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

Chicago College of Medicine and Surgery, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gila Regional Medical CenterGroup PAC ID 9931006319, shared by 3 NPIs, 18 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Gila Regional Medical Center Hospital, Silver City, NM, CCN 321311

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: laurence.gibson.1@12922.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/12922/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Gila Regional Medical Center

  • Critical Access Hospital
  • Silver City, NM
  • NPI 1336220839
  Medicare reassignment NPD
• Gila Regional Medical Center

  • Medical Oncology Physician
  • Silver City, NM
  • NPI 1619053709
  Medicare reassignment NPD
• Gila Regional Medical Center

  dba Gila Regional Pediatrics

  • Pediatrics Physician
  • Silver City, NM
  • NPI 1568017143
  NPD
• North Suburban Dermatology Associates,SC

  • Specialist
  • Gurnee, IL
  • NPI 1609827237
  NPD (past)
• Gila Regional Medical Center

  • Family Medicine Physician
  • Silver City, NM
  • NPI 1831555366

  Surgery

  NPD (past)

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

• Gila Regional Medical Center

  • Critical Access Hospital
  • Silver City, NM
  • NPI 1336220839
  Care Compare affiliation

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

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277683200000",
    "number": "1710968532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 S GREENLEAF ST",
            "address_2": "STE A",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600313370",
            "telephone_number": "847-856-2525",
            "fax_number": "847-856-1969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 S GREENLEAF ST",
            "address_2": "STE A",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600313370",
            "telephone_number": "847-856-2525",
            "fax_number": "847-856-1969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "LAURENCE",
        "middle_name": "F",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-09",
        "last_updated": "2010-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "036101520",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036101520",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joby George, M.D.
• Gerald a Frank MD LTD
• Gerald Frank MD Internal Medicine SC
• Gerard M. Goshgarian, M.D., S.C.
• Walid Nasri Ghantous, M.D.
• Megan Gilbertson, PHD
• Nader Gill, D.M.D., M.S.
• Rick Ginsberg, DPM
• Kaia Glabowicz
• Walter Reid Glaws, D O

• Surgery Physician in Gurnee, IL
• Providers in Gurnee, IL by specialty
• Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2010; 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.