Individual
STEVEN G GIBSON
Active
Individual
STEVEN G GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
01053485
IN
2084P0800X
Psychiatry Physician
36480
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000056294
ANTHEM GROUP #
—
01
—
000000239196
ANTHEM
—
05
—
100386460
—
IN
01
—
1063415297
PV GROUP NPI #
—
01
—
160780
MEDICARE GROUP #
IN
01
—
160860
MEDICARE GROUP #
IN
01
—
182992000
MAGELLAN MIS #
—
05
—
200298400A
—
IN
01
—
2444451000
PASSPORT GROUP #
KY
01
—
260048976
MEDICARE RAILROAD
IN
01
—
2700874000
PASSPORT ADVANTAGE
KY
01
—
50704000
MAGELLAN MIS GROUP
—
05
—
64034671
—
KY
05
—
65927857
—
KY
01
—
6764
MEDICARE GROUP #
KY
05
—
78903689
—
KY
05
—
82900176
—
KY
01
—
CG3623
RAILROAD MEDICARE GROUP
IN
01
—
CK2274
RAILROAD MEDICARE GROUP
KY
01
—
P00708801
RAIL ROAD MEDICARE
KY
Enumeration date
07/05/2005
Last updated
08/15/2015
Update your record
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