Mrs. Gwendolyn Octavia Gibson --

MD | Pediatrics | Female

Mrs. Gwendolyn Octavia Gibson --, MD is a Richmond, Virginia based Pediatric doctor with medical specialization in General Pediatrics. Current practice location of Mrs. Gwendolyn Octavia Gibson -- is 9900 Independence Park Dr, Suite 100, Richmond, Virginia - 23233-1473. She can be contacted on phone at 804-747-1855 and fax number 804-762-8837. Mrs. Gwendolyn Octavia Gibson -- is a sole proprietor of her business.
NPI number (Unique professional ID) for Mrs. Gwendolyn Octavia Gibson -- is 1265546055 which was assigned by NPPES on 18 Aug, 2006 and it was last updated on 07 Mar, 2023. Mrs. Gwendolyn Octavia Gibson -- license number is 0101-057103 for Pediatrics (208000000X) in Virginia.
Mrs. Gwendolyn Octavia Gibson -- is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Mrs. Gwendolyn Octavia Gibson -- basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
Specialization :Pediatrics
Provider Name :Mrs. Gwendolyn Octavia Gibson --
Credential :MD
Gender :Female
Business Address:
Mrs. Gwendolyn Octavia Gibson -- address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
Primary Address :9900 Independence Park Dr, Suite 100
Richmond, VA, 23233-1473
United States
Phone Number :804-747-1855
Fax Number :804-762-8837
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number : 1265546055
NPI Entity Type : Individual
First Enrolment Date : 18 Aug, 2006
Last Updated On : 07 Mar, 2023
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mrs. Gwendolyn Octavia Gibson -- are as mentioned. Primary taxonomy code for Mrs. Gwendolyn Octavia Gibson --, MD is 208000000X (Pediatrics).
Taxonomy Code SpecialityPrimaryLicense No.State
208000000XPediatricsYes0101-057103VA
Legacy Identifiers:
Other legacy medical identifiers of Mrs. Gwendolyn Octavia Gibson -- such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
IdentifierIdentifier TypeStateIssuer
0101-057103Other (non-Medicare)VAState license
179099Other (non-Medicare)Anthem - Henrico County
234086Other (non-Medicare)Anthem - Hanover County
288630Other (non-Medicare)Southern Health
3325244Other (non-Medicare)Cigna
6730043MEDICAIDVA
H08713MEDICARE UPIN
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
Mailing Address :9900 Independence Park Dr, Suite 100
Richmond, VA, 23233-1473
United States
Phone Number :804-747-1855
Fax Number :804-762-8837
Business Location:
Patients can refer following map for directions to Mrs. Gwendolyn Octavia Gibson -- practice address. Don't forget to take prior appointment before visiting.

** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.