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 |
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| Provider Name : | Mrs. Gwendolyn Octavia Gibson -- |
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| Credential : | MD |
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| Gender : | Female |
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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 |
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| Phone Number : | 804-747-1855 |
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| Fax Number : | 804-762-8837 |
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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 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 18 Aug, 2006 |
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| Last Updated On : | 07 Mar, 2023 |
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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 | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 0101-057103 | VA |
Legacy Identifiers:
Other legacy medical identifiers of Mrs. Gwendolyn Octavia Gibson -- such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 0101-057103 | Other (non-Medicare) | VA | State license |
| 179099 | Other (non-Medicare) | | Anthem - Henrico County |
| 234086 | Other (non-Medicare) | | Anthem - Hanover County |
| 288630 | Other (non-Medicare) | | Southern Health |
| 3325244 | Other (non-Medicare) | | Cigna |
| 6730043 | MEDICAID | VA | |
| H08713 | MEDICARE 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 |
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| Phone Number : | 804-747-1855 |
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| Fax Number : | 804-762-8837 |
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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.