Individual
MARK J GIPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
26908 DETROIT RD, SUITE 200, WESTLAKE, OH 44145-2398
(440) 250-8660
(440) 250-8639
Mailing address
26908 DETROIT RD, SUITE 301, WESTLAKE, OH 44145-2398
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35051727
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0607703
—
OH
01
—
370017679
RR MEDICARE
OH
Enumeration date
08/11/2005
Last updated
12/15/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us