Individual
CAROL ANN JACKSON-GIBSON
Active
Individual
CAROL ANN JACKSON-GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
176786
NY
2085R0202X
Diagnostic Radiology Physician
Primary
176786
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00025193901
UNIVERA/EXCELLUS #
NY
01
—
000525515015
BLUE CROSS WNY #
NY
05
—
01598136
—
NY
01
—
150589FF
PREFERRED CARE-ROCHESTER
NY
01
—
300118785
RAILROAD MEDICARE #
NY
01
—
5609475
INDEPENDENT HEALTH #
NY
01
—
CR-DRA176786-2W
WORKERS COMPENSATION #
NY
Enumeration date
07/19/2005
Last updated
03/11/2013
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up