Andrew Gibson

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA2492 Issued in FL

Legal business name

ANDREW GIBSON

Practice address

12869 Dunes CT
Jacksonville, FL 32225-3889

Phone

(904) 998-0997

Fax

(904) 824-2226

NPI assigned

Sep 8, 2009

Last updated

Sep 8, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Andrew Gibson, PA-C

Title

Owner

Phone

(904) 998-0997

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1252368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252368000000",
    "number": "1932432093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12869 DUNES CT",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322253889",
            "telephone_number": "904-998-0997",
            "fax_number": "904-824-2226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12869 DUNES CT",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322253889",
            "telephone_number": "904-998-0997",
            "fax_number": "904-824-2226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREW GIBSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-08",
        "last_updated": "2009-09-08",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-998-0997",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA2492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colt Mitchell Andrea, D.C.
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• Rebecca H Andrew, MD
• Stephanie M. Andrew, RN

• Surgical Physician Assistant in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Surgical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2009; 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.