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Ellen Gibby

Female

Medical Specialty

Certified Registered Nurse Anesthetist

Professional ID

NPI: 1548268329
PECOS ID: 5890953996
Enrollment ID: I20120221000527
Credential(MD, DO, DPM):
Medical School:
Medical School Graduation Year: 2002

Hospital Service

Hospital CCN1: 090004
Business Name (LBN)1: Medstar Georgetown University Hospital

Medical Practices

Organization Name: Mgmc Llc
Group Practice ID assigned by PECOS: 9537073119
Number of Group Practice member: 631

Location

Address1: 3800 Reservoir Rd Nw
Address2:
City: Washington
State: District of Columbia
Zip Code: 20007
Phone Number: (202)444-3700

Medicare

Medicare Assignment: Yes
Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
Used Electronic health record (EHR):