Healthcare Provider Details

I. General information

NPI: 1275895625
Provider Name (Legal Business Name): HEATHER NICOLE GIBBS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: HEATHER BARTON M.D.

II. Dates (important events)

Enumeration Date: 06/12/2012
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33663 BAYVIEW MEDICAL DR UNIT 2
LEWES DE
19958-1663
US

IV. Provider business mailing address

1515 SAVANNAH RD STE 200
LEWES DE
19958-1675
US

V. Phone/Fax

Practice location:
  • Phone: 302-645-9325
  • Fax: 302-644-1203
Mailing address:
  • Phone: 302-645-3499
  • Fax: 302-644-4830

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberLL34717
License Number StateSC
# 2
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberC1-0012483
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: