Luther White Gibson, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

012366 Issued in CT

Practice address

12 Dilaj Dr
Columbia, CT 06237-1049

Phone

(860) 228-9114

NPI assigned

Mar 15, 2013

Last updated

Mar 15, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1363305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363305600000",
    "number": "1730420720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 DILAJ DR",
            "city": "COLUMBIA",
            "state": "CT",
            "postal_code": "062371049",
            "telephone_number": "860-228-9114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 DILAJ DR",
            "city": "COLUMBIA",
            "state": "CT",
            "postal_code": "062371049",
            "telephone_number": "860-228-9114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "LUTHER",
        "middle_name": "WHITE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-15",
        "last_updated": "2013-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CT",
            "license": "012366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Marie Fitzgerald Casper, M.A., BCBA
• Gina M Flanagan, PT
• Rebecca M Fleming, DPT
• Mathew J Gardella, RPT
• Rebecca S Gardella, RPT
• Catherine Battelle Gilbert, DMIN
• Mahlon B. Gilbert, D.MIN.
• Loretta P Gorcenski, RNC, IBCLC
• Anthony Greb, RPT
• Paula Marie Haney

• Obstetrics & Gynecology Physician in Columbia, CT
• Providers in Columbia, CT by specialty
• Obstetrics & Gynecology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.