Jennifer D Gibson, MD | |
401 N Ewing St, Lancaster, OH 43130-3372 | |
(740) 687-8000 | |
Not Available |
Full Name | Jennifer D Gibson |
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Gender | Female |
Speciality | Pediatrics |
Location | 401 N Ewing St, Lancaster, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528039203 | NPI | - | NPPES |
2160370 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 35 07 1791 G (Ohio) | Secondary |
208M00000X | Hospitalist | 35071791 (Ohio) | Secondary |
208000000X | Pediatrics | 35071791 (Ohio) | Primary |
Entity Name | Pediatric Academic Association, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063419943 PECOS PAC ID: 2961306774 Enrollment ID: O20031124000198 |
Entity Name | Buckeye Family Health Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407985724 PECOS PAC ID: 2062408354 Enrollment ID: O20120504000588 |
Mailing Address | Practice Location Address |
---|---|
Jennifer D Gibson, MD 700 Childrens Dr Ste 200, Columbus, OH 43205-2664 Ph: (614) 722-2000 | Jennifer D Gibson, MD 401 N Ewing St, Lancaster, OH 43130-3372 Ph: (740) 687-8000 |
Jayne Dye, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 509 N Broad St, Lancaster, OH 43130 Phone: 740-687-3648 | |
Sarah C Steward, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 401 N Ewing St, Lancaster, OH 43130 Phone: 740-687-8000 | |
Jennifer Springer, Pediatrics Medicare: Medicare Enrolled Practice Location: 401 N Ewing St, Lancaster, OH 43130 Phone: 740-687-6907 | |
Dr. Richard David Strominger, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1155 E Main St, Lancaster, OH 43130 Phone: 740-689-6756 Fax: 740-689-6759 | |
Dr. Melanie Marie Stevens, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 220 E Walnut St, Lancaster, OH 43130 Phone: 740-277-6043 | |
Dr. Martin H. Harris, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1550 Sheridan Dr, Suite 102, Lancaster, OH 43130 Phone: 740-687-6386 Fax: 740-687-1388 | |
Jennifer Lynn Miller, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1554 Wesley Way, Lancaster, OH 43130 Phone: 740-687-6386 |