Gregory Carden Gifford, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

O1O34956 Issued in IN

Practice address

111 Sunnybrook CT
South Bend, IN 46637-3437

Phone

(574) 243-3100

Fax

(574) 243-3134

NPI assigned

Apr 11, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692
  NPD (past)

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265846400000",
    "number": "1861615510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 SUNNYBROOK CT.",
            "address_2": "CENTER FOR HOSPICE AND PALLIATIVE CARE, INC.",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466373437",
            "telephone_number": "574-243-3100",
            "fax_number": "574-243-3134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 SUNNYBROOK CT",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466373437",
            "telephone_number": "574-243-3100",
            "fax_number": "574-243-3134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIFFORD",
        "first_name": "GREGORY",
        "middle_name": "CARDEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-11",
        "last_updated": "2010-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "IN",
            "license": "01034956A",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "O1O34956",
            "primary": true
        },
        {
            "code": "207PH0002X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Hospice and Palliative Medicine",
            "state": "IN",
            "license": "01034956",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelby Geyer, LCSW
• Kayla Marie Gibbons
• Jennie Lynn Gibson, PA-C
• Michelle Gibson, MS, LMHCA
• Toni Gibson
• Pamela Giger, MSW
• Eden Gilbert, RBT
• Neil Lee Gilbert, LCSW
• Oliver D Gilliam, M.D.
• Gillis Psychiatry LLC

• Emergency Medicine Physician in South Bend, IN
• Providers in South Bend, IN by specialty
• Emergency Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2010; 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.