MEDICARE: CHRISTINE GIBERSON PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	50.010326RX	OH

General Provider Information

NPI Number	:	1043146996
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINE GIBERSON PA

Provider Business Mailing Address
First Line	:	3525 OLENTANGY RIVER RD STE 4330
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43214-3937
Country	:	US
Telephone Number	:	614-255-6900
Fax Number	:	614-255-6901

Provider Business Practice Location Address
First Line	:	3525 OLENTANGY RIVER RD STE 4330
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43214-3937
Country	:	US
Telephone Number	:	614-255-6900
Fax Number	:	614-255-6901

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/19/2026
Last Update Date	:	06/19/2026

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Directions to “ CHRISTINE GIBERSON PA” Practice Location

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