Individual
SCOTT R GIBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 MEDICAL CENTER DR, SUITE 2500, HUNTINGTON, WV 25701-3656
(304) 691-1200
(304) 691-1287
Mailing address
1600 MEDICAL CENTER DR, SUITE 2500, HUNTINGTON, WV 25701-3656
(304) 691-1200
(304) 691-1287
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
19758
WV
207Y00000X
Otolaryngology Physician
34885
KY
207Y00000X
Otolaryngology Physician
85091
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010114000
—
WV
01
—
040013510
RR MEDICARE
WV
01
—
040013511
RR MEDICARE
KY
05
—
64002660
—
KY
Enumeration date
08/12/2005
Last updated
11/17/2021
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