Active NPIIndividual provider

James Gibson, PA-C

Physician Assistant, Surgical in Wethersfield, Connecticut

NPI Number1295191864
Practice location
1290 Silas Deane Hwy, Wethersfield, CT 06109-4337
Fax
—
Last updated
July 12, 2023

James Gibson is a Physician Assistant, Surgical based in Wethersfield, CT. James Gibson practices in Wethersfield, CT and has the professional credentials of PA-C. The NPI Number for James Gibson is 1295191864 and holds a License No. 019387 (NY). The current practice location address for James Gibson is 1290 Silas Deane Hwy, Wethersfield, CT 06109-4337 and can be reached out via phone at 860-972-9033.

Provider Profile Details

NPI Number
1295191864
Provider Name
James Gibson
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
1290 Silas Deane Hwy, Wethersfield, CT 06109-4337
Phone Number
860-972-9033
Primary Taxonomy
Physician Assistant, Surgical · 363AS0400X
Sole Proprietor
No
Provider Enumeration Date
January 12, 2016
Last Update Date
July 12, 2023
Certification Date
July 12, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
1290 Silas Deane Hwy
Wethersfield, CT 06109-4337
Zip
06109-4337
Phone Number
860-972-9033
Wethersfield, CT 06109Get directions →

Provider Business Mailing Address Details

Address
36 Woodvale Ave
Kings Park, NY 11754-1028
City
Kings Park
State
NY
Zip
11754-1028
Phone Number
631-456-3835

License Information

License Number
019387
License State
NY
Taxonomy
Physician Assistant, Surgical · 363AS0400X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of James Gibson, PA-C?

The NPI number of James Gibson, PA-C is 1295191864. It was assigned on January 12, 2016 and is currently active in the NPPES registry.

What is the specialty of James Gibson, PA-C?

James Gibson, PA-C is registered under the primary taxonomy Physician Assistant, Surgical (code 363AS0400X), licensed in NY under license number 019387.

Where does James Gibson, PA-C practice?

The practice location is 1290 Silas Deane Hwy, Wethersfield, CT 06109-4337. The office can be reached at 860-972-9033 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1295191864 directly on the NPPES registry website.

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