George Gibbons, M.D.

Primary specialty

Dermatopathology (Pathology) PhysicianTaxonomy code 207ZD0900X

License

ME94720 Issued in FL

Practice address

10500 University Center Dr
Ste 175
Tampa, FL 33612-6494

Phone

(800) 929-6694

Fax

(407) 856-2312

NPI assigned

Dec 1, 2005

Last updated

May 8, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Practice roles

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ameripath Florida LLC

  • Clinical Medical Laboratory
  • Fort Myers, FL
  • NPI 1407820889
  NPD (past)
• Institute for Dermatopathology, Inc.

  • Clinical Medical Laboratory
  • Flourtown, PA
  • NPI 1093595829
  NPD (past)

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

{
    "created_epoch": "1133395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431043200000",
    "number": "1972587004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14275 MIDWAY RD",
            "address_2": "SUITE 400",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750013614",
            "telephone_number": "214-932-8029",
            "fax_number": "610-271-4245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10500 UNIVERSITY CENTER DR",
            "address_2": "STE 175",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336126494",
            "telephone_number": "800-929-6694",
            "fax_number": "407-856-2312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBBONS",
        "first_name": "GEORGE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-01",
        "last_updated": "2015-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "FL",
            "license": "ME94720",
            "primary": true
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "DE",
            "license": "C1-0007055",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "274275600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Noelle Frances Gianni, RBT
• Irene Melendres Gianzon
• Kelly Giarda
• Natalie Giarelli, APRN
• Jacqueline Anne Gibb, LMHC
• Katherine Salesses Gibbons, PHARMD
• Kayla D Gibbons
• Nicole Gibbons, PA-C
• Richard B Gibbons
• Brandon Tyler Gibbs, APRN, MSN

• Dermatopathology (Pathology) Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Dermatopathology (Pathology) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2015; 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.