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: Accepting Medicare Assignments 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 | |
Mary Ann Fontanarosa, 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 |