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Active NPI 1619391802 Individual Practitioner Male Practitioner

Mark Gibson , CPO

Prosthetist • Tallahassee, FL

Professional Overview & Biography Verified Profile Summary

Mark Gibson, CPO is a registered healthcare professional specializing in Prosthetist in Tallahassee, FL. Practice services are available at 3334 CAPITAL MEDICAL BLVD #400 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3334 Capital Medical Blvd #400

Tallahassee, FL 323084470

Telephone 8508778174
Fax 8508775636
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Prosthetist in Tallahassee, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
5 Specialists

Practicing in Tallahassee, FL (115 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Prosthetist Primary Specialty

NUCC Taxonomy Code: 224P00000X

State License FL POR276

A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.

Orthotist

NUCC Taxonomy Code: 222Z00000X

State License FL POR276

A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
951939400 (FL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Jennifer Puhr , ATC

Specialist/Technologist - Athletic Trainer

NPI 1003054024

Certified Athletic Trainer

Dr. Gilbert Chandler , MD

Pain Medicine - Interventional Pain Medicine

NPI 1003807272

Doctor of Medicine (M.D.)

David Bellamy

Orthopaedic Surgery

NPI 1023011905
Stacy Warren , PT

Physical Therapist

NPI 1023246733

Physical Therapist

NPI 1023969185

DMEFITTER

Lisa Meinsen , PA

Physician Assistant

NPI 1033510003

Physician Assistant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active November 13, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location November 13, 2014

Registered at 3334 CAPITAL MEDICAL BLVD #400, TALLAHASSEE, FL 323084470 (Tel: 8508778174)

📍
Updated Business Mailing Address November 13, 2014

Registered at 3334 CAPITAL MEDICAL BLVD #400, TALLAHASSEE, FL 323084470 (Tel: 8508778174)

👤
Provider Name / Credentials Updated November 13, 2014

Recorded as MARK GIBSON, CPO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 13, 2014

Orthotist (License #POR276 in FL)

🟢
Initial NPI Registration & Enumeration February 10, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1619391802
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 10, 2014
Last Update: November 13, 2014
Sole Proprietor: No

Mailing Address

3334 Capital Medical Blvd #400

Tallahassee, FL 323084470

Phone: 8508778174

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.