| Dr Gary R Gibson, MD | |
|
310 Windsor Dr, Cortland, OH 44410-2705 | |
| (330) 637-0356 | |
| (330) 637-0361 |
| Full Name | Dr Gary R Gibson |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 310 Windsor Dr, Cortland, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821097486 | NPI | - | NPPES |
| 4122159 | Other | OH | AETNA |
| 000000147036 | Other | OH | ANTHEM |
| 0631865 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 35048883 (Ohio) | Primary |
| Entity Name | Steward Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902347438 PECOS PAC ID: 2860688728 Enrollment ID: O20170515002104 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Gary R Gibson, MD 310 Windsor Dr, Cortland, OH 44410-2705 Ph: (330) 637-0356 | Dr Gary R Gibson, MD 310 Windsor Dr, Cortland, OH 44410-2705 Ph: (330) 637-0356 |
Sameh Ibrahim Youssef, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2600 State Route 5, Cortland, OH 44410 Phone: 330-372-8800 Fax: 330-372-8999 | |
Benjamin J Kulper, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2600 State Route 5, Cortland, OH 44410 Phone: 330-372-8800 Fax: 330-372-8999 | |
Sohair Kamel Rostom, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 310 Windsor Dr, Cortland, OH 44410 Phone: 330-675-4450 Fax: 330-675-4451 | |
Dan N Olson, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2600 State Route 5, Cortland, OH 44410 Phone: 330-372-8800 Fax: 330-372-8999 | |
Mourad L Rostom, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 310 Windsor Dr, Cortland, OH 44410 Phone: 330-675-4450 Fax: 330-675-4451 | |
Basem Nabil Doss, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2600 State Route 5 Ste 2636, Cortland, OH 44410 Phone: 234-338-9790 Fax: 234-338-9795 |