Physician Compare National (NPI:1689895724)

HEALTHCARE PROVIDER: EULAR GIBBS

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1689895724
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9830298942
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20070629000399
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	GIBBS
	Individual professional last name
Provider First Name	EULAR
	Individual professional first name
Provider Middle Name	MURRAY
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1982
	Individual professional's medical school graduation year
Primary Specialty	CLINICAL SOCIAL WORKER
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	718 BRIDGE ST
	Group Practice or individual's line 1 address
City	ELKTON
	Group Practice or individual's city
State	MD
	Group Practice or individual's state
Zip Code	21921
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y