Active NPI
Donald E Gibbons III, MD
- Emergency Medicine Physician
- Lewisville, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- M4791
- Practice address
- 500 W Main St
Emergency Department
Lewisville, TX 75057-3629 - Phone
- (972) 420-1000
- NPI assigned
- Jul 6, 2006
- Last updated
- Aug 10, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 336077005 | IL | |
| Emergency Medicine Physician | 207P00000X | M4791 | TX | Primary |
Addresses
Primary practice location
500 W Main St
Emergency Department
Lewisville, TX 75057-3629
Mailing address
758 N Larrabee St
Apt. 514
Chicago, IL 60610-6445
Phone (773) 710-1654
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00364135 | Other | TX | RAILROAD |
| 183312101 | Medicaid | TX | |
| 8W0733 | Other | TX | BCBS |
| 183312102 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
850 W Central Texas Expy
Harker Heights, TX 76548-1890
Phone (254) 690-0900
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 336077005 | IL | MD | Emergency Medicine Physician |
| M4791 | TX | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ies Carrollton PLLC | Emergency Medicine | Current | Accepting new patients |
| Emergency Associates of Central Texas PA | Emergency Medicine | Current | Accepting new patients |
| Legacy Urgent Care, PA | Current | Accepting new patients |
Locations
4343 N Josey Ln
Carrollton, TX 75010
Phone (972) 394-2280
330 S Denton Tap Rd
Coppell, TX 75019
Phone (469) 312-7777
9205 Legacy Dr
Frisco, TX 75033
Phone (972) 625-6020
850 W Central Texas Expy
Killeen, TX 76548
Phone (254) 690-0900
2810 S Hardin Blvd
Ste 100
McKinney, TX 75072
Phone (972) 548-7277
8950 N Tarrant Pkwy
North Richlnd Hls, TX 76182
Phone (817) 281-7277
Interoperability endpoints
- dgibbons864327@ahs.direct-ci.com
Organizations & group practices 3
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.
-
- Emergency Medicine Physician
- Killeen, TX
- NPI 1215418280
-
- Emergency Medicine Physician
- Carrollton, TX
- NPI 1134769789
-
- Urgent Care Clinic/Center
- Frisco, TX
- NPI 1568622272
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Seton Medical Center Harker Heights
- General Acute Care Hospital
- Harker Heights, TX
- NPI 1841562709
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312934400000",
"number": "1720019623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "758 N LARRABEE ST",
"address_2": "APT. 514",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606106445",
"telephone_number": "773-710-1654"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 W MAIN ST",
"address_2": "EMERGENCY DEPARTMENT",
"city": "LEWISVILLE",
"state": "TX",
"postal_code": "750573629",
"telephone_number": "972-420-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBBONS",
"first_name": "DONALD",
"middle_name": "E",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-06",
"last_updated": "2011-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IL",
"license": "336077005",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TX",
"license": "M4791",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD",
"identifier": "P00364135",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "183312101",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8W0733",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "183312102",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lewisville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2011; 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.