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NPI Code Detail

MEDICARE: SARAH CHRISTINE GIBBLE PA

MEDICARE: SARAH CHRISTINE GIBBLE 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
1363AM0700XMedical Physician Assistant003578OH

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2H150080OTHEROHMEDICARE PTAN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1821342320
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH CHRISTINE GIBBLE PA
Provider Business Mailing Address
First Line : 1380 E STROOP RD STE 201
Second Line :
City : KETTERING
State : OH
Zip : 45429-4926
Country : US
Telephone Number : 937-293-3486
Fax Number :
Provider Business Practice Location Address
First Line : 1380 E STROOP RD
Second Line :
City : KETTERING
State : OH
Zip : 45429-4926
Country : US
Telephone Number : 937-293-3486
Fax Number : 937-293-3605
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/05/2012
Last Update Date : 01/26/2026

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Directions to “ SARAH CHRISTINE GIBBLE PA” Practice Location

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