Dr. Gary R Gibson, MD
Internal Medicine in Cortland, OH. Individual provider (NPI-1).
NPI number1821097486
StatusActive
Last updated in NPPESJan 6, 2011
Details
- NPI
- 1821097486
- Entity type
- Individual (NPI-1)
- Name
- Dr. Gary R Gibson
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 18, 2005
- Last updated
- Jan 6, 2011
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - INTERNAL MEDICINE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 35048883 | OH | Yes |
Practice location
310 Windsor DrCortland, OH 44410-2705
Phone 330-637-0356 · Fax 330-637-0361
Mailing address
310 Windsor DrCortland, OH 44410-2705
Phone 330-637-0356 · Fax 330-637-0361
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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