Active NPI
Jon David Gibson, M.D.
- Gastroenterology Physician
- West Des Moines, IA
National Provider Identifier
1720072507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 20070
- Practice address
- 5950 University Ave
Ste 221
West Des Moines, IA 50266-8216 - Phone
- (515) 875-9115
- Fax
- (515) 875-9117
- NPI assigned
- Sep 7, 2005
- 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 |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 20070 | IA | Primary |
Addresses
Primary practice location
5950 University Ave
Ste 221
West Des Moines, IA 50266-8216
Mailing address
PO Box 4907
Des Moines, IA 50306-4907
Phone (515) 875-9925
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20070 | IA | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Iowa Clinic, PC | Past | Accepting new patients | |
| The Iowa Clinic PC | Gastroenterology | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Durable Medical Equipment & Medical Supplies
- West Des Moines, IA
- NPI 1871451328
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1227139200000",
"number": "1720072507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4907",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503064907",
"telephone_number": "515-875-9925",
"fax_number": "515-875-9923"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5950 UNIVERSITY AVE",
"address_2": "STE 221",
"city": "WEST DES MOINES",
"state": "IA",
"postal_code": "502668216",
"telephone_number": "515-875-9115",
"fax_number": "515-875-9117"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBSON",
"first_name": "JON",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-07",
"last_updated": "2008-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "IA",
"license": "20070",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.