National Provider Identifier Database

GLEN R GIBSON, MD – NPI #1609874973
Surgical Oncology

A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.

Contact Information

GLEN R GIBSON, MD
2003 MEDICAL PKWY
SUITE 301
ANNAPOLIS, MD  21401-7992
Phone: 410-266-9966
Fax: 410-266-6819
Website:
Specialty Taxonomy Code
* Surgical Oncology 2086X0206X

* Indicates primary specialty

NPI Profile & details for GLEN R GIBSON

NPI Number 1609874973
Credentials MD
Entity Individual
Enumeration date 07/12/2005
Last updated 12/05/2013 - About 13 years ago
Sole proprietor1 No
Identifiers
  • MD License #: D0062550
  • MD Medicaid: 407175105
  • MD Medicaid: 407972800
  • Other: 3943260 AETNA HMO
  • Other: 7105042 AETNA PPO
  • Other: 1703604 AMERICHOICE
  • Other: 287909 AMERIGROUP
  • Other: 0001 BCBS
  • Other: 64670901 BCBS
  • Other: 64670908 BCBS
  • Other: 64670903 BCBS (HOS)
  • Other: 64670904 BCBS (HOS)
  • Other: K5850009 BCBS DC
  • Other: 3758040 CIGNA
  • Other: 145726104 FEDERAL WORKMAN'S COMP (ANNE ARUNDEL MEDICAL CENTER)
  • Other: 610307700 FEDERAL WORKMANS COMP
  • Other: 102077 JHHC
  • Other: 254989 KAISER
  • Other: 2137029 MAMSI
  • Other: 2363265 UNITED HEALTHCARE
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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