Gibbs Mobile Med, LLC

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

Legal business name

GIBBS MOBILE MED, LLC

Practice address

4115 Annandale Rd Ste 203
Annandale, VA 22003-2500

Phone

(240) 346-7488

NPI assigned

Jun 29, 2018

Organization subpart

No

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

Authorized official

Name

Gibson Iyeke Erhunmwunse, NP

Title

Ceo

Phone

(240) 346-7488

Specialties & licenses 1

Addresses

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Pavilion Medical Home Care & Staffing, LLC

  • Home Health Agency
  • Annandale, VA
  • NPI 1376620120

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1530230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530230400000",
    "number": "1932694015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4115 ANNANDALE RD STE 203",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220032500",
            "telephone_number": "240-346-7488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4115 ANNANDALE RD STE 203",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220032500",
            "telephone_number": "240-346-7488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIBBS MOBILE MED, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-29",
        "last_updated": "2018-06-29",
        "status": "A",
        "authorized_official_last_name": "ERHUNMWUNSE",
        "authorized_official_first_name": "GIBSON",
        "authorized_official_middle_name": "IYEKE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "240-346-7488",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Noel Gerardy
• Get Talking LLC
• Merdod Ghafouri, DO
• Giant of Maryland LLC
• Giant of Maryland LLC
• Valerie Washington Gibson, PT
• Allison Gilbert
• Stewart Ian Gillespie, DC
• Glory Homecare Services LLC
• Glory Homecare Services LLC

• All providers in Annandale, VA
• Geriatric Medicine (Family Medicine) Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2018; 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.