Individual provider Active NPI

Dana Lynn Gibson, M.D.

  • Pediatrics Physician
  • Frankfort, KY
National Provider Identifier
1972573269
Registry record updated Feb 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
25301 Issued in KY
Practice address
202 Limestone St S Ste 1a
Frankfort, KY 40601-4320
Phone
(502) 223-8400
Fax
(502) 875-3073
NPI assigned
Jan 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 25301 KY Primary

Addresses

Primary practice location

202 Limestone St S Ste 1a
Frankfort, KY 40601-4320

Mailing address

PO Box 776879
Chicago, IL 60677-6879
Phone (502) 588-9490

Other identifiers 1

IdentifierTypeStateIssuer
64253016MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130815000274 KY Practitioner - Pediatric Medicine 4183866403 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Norton Childrens Medical Group, LLC Pediatrics CurrentSince Apr 9, 2024 Accepting new patients
Norton Children'S Medical Group, LLC CurrentSince Apr 9, 2024 Accepting new patients
Norton Children'S Medical Group, LLC Current Accepting new patients
Lake Cumberland Regional Hospital, LLC Pediatrics CurrentSince Jul 1, 2013 Accepting new patients
Lake Cumberland Regional Hospital LLC Current Accepting new patients
Lake Cumberland Regional Hospital LLC CurrentSince Jul 1, 2013 Accepting new patients
Saint Joseph Health System, Inc. Past Accepting new patients
Saint Joseph Health System, Inc. Past Accepting new patients

Locations

202 Limestone St S
Ste 1
Frankfort, KY 40601

202 Limestone St S
Ste 1A
Frankfort, KY 40601
Phone (502) 223-8400

1001 Saint Joseph Ln
London, KY 40741
Phone (606) 330-6000

601 S Floyd St
Ste 604
Louisville, KY 40202
Phone (502) 559-1670

353 Bogle St
Ste A
Somerset, KY 42503
Phone (606) 451-3820

350 Hospital Way
Ste 100
Somerset, KY 42503
Phone (606) 451-2600

Interoperability endpoints

  • Direct secure messaging: dgibson285687@direct.nortonhealthcare.org
  • FHIR API: https://api.platform.athenahealth.com/21269/brand/3/csg/1/fhir/r4

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708300800000",
    "number": "1972573269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776879",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776879",
            "telephone_number": "502-588-9490",
            "fax_number": "502-272-5116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 LIMESTONE ST S STE 1A",
            "city": "FRANKFORT",
            "state": "KY",
            "postal_code": "406014320",
            "telephone_number": "502-223-8400",
            "fax_number": "502-875-3073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "DANA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-26",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "25301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64253016",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Frankfort, KY

Sources for this page

Verify at the official NPI Registry.