Johnny Lewis Gibson, MD

Primary specialty

Independent Medical Examiner PhysicianTaxonomy code 202C00000X

License

013131 Issued in LA

Practice address

8030 Crowder Blvd Ste a
New Orleans, LA 70127-1063

Phone

(504) 246-2119

Fax

(504) 246-0663

NPI assigned

Jun 27, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569369600000",
    "number": "1770789570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1631 ELYSIAN FIELDS AVE",
            "address_2": "PO BOX 125",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701178208",
            "telephone_number": "504-246-2119",
            "fax_number": "504-246-0663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8030 CROWDER BLVD STE A",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701271063",
            "telephone_number": "504-246-2119",
            "fax_number": "504-246-0663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "JOHNNY",
        "middle_name": "LEWIS",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-27",
        "last_updated": "2019-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "LA",
            "license": "MD.013132",
            "primary": false
        },
        {
            "code": "202C00000X",
            "taxonomy_group": "",
            "desc": "Independent Medical Examiner",
            "state": "LA",
            "license": "013131",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1301973",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aysha Jawan Gibson
• Brian Gibson, B.S, M.S
• Christine Elizabeth Gibson, M.C.D., CCC-A
• Enchantra Gibson
• Gail Pitt Gibson, RN
• Loren Christopher Gibson
• Shaniqua K Gibson
• William Gibson
• Ellen Kathryn Ulrika Giddings, MD
• Dawn-Marie Gieck, APRN, ANP-C

• Independent Medical Examiner Physician in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Independent Medical Examiner Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2019; 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.