Hausan R Gibbs

Physician • Secane, PA

Deactivated NPI 1740057678 Deactivated in NPPES Male Practitioner

Practice location in NPPES

914 South Ave Apt H4
Secane, PA 190184411

Phone: 2672883625

Location details and other listings

Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

This NPI Is Deactivated in NPPES

NPPES lists this NPI as deactivated as of March 06, 2025; the reason is not published. The records below are historical. They do not show whether Hausan Gibbs currently practices or holds a license; check the state medical board for current license status.

NPI Enumeration Date December 11, 2023

NPI Deactivation Date March 06, 2025

NPI Active Period 2023 – 2025

Practice Location & Contact Primary Location

Practice Address

914 South Ave Apt H4

Secane, PA 190184411

Telephone 2672883625

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What Public CMS Data Show

These CMS figures cover limited populations and published records; they are not quality ratings or medical advice.

Physician: NPPES taxonomy is a reported classification, not proof of board certification.

NPI first issued

2023

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Compared with the same specialty in Secane and Pennsylvania

Comparisons are not shown because NPPES lists this NPI as deactivated.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Ambulance - Land Transport Primary Specialty

NUCC Taxonomy Code: 3416L0300X

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Pennsylvania Department of State Licensing.

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Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events

⚠️

NPI Profile Deactivated March 06, 2025

NPPES lists this NPI as deactivated as of March 06, 2025; the reason is not published.

✅

NPI Profile Active December 11, 2023

NPI status registered as active in NPPES database

📍

Practice Location (Initial Record) December 11, 2023

Registered at 914 SOUTH AVE APT H4, SECANE, PA 190184411 (Tel: 2672883625)

📍

Business Mailing Address (Initial Record) December 11, 2023

Registered at 914 SOUTH AVE APT H4, SECANE, PA 190184411 (Tel: 2672883625)

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Provider Name / Credentials (Initial Record) December 11, 2023

Recorded as HAUSAN GIBBS

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 11, 2023

Ambulance

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Initial NPI Registration & Enumeration December 11, 2023

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1740057678

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: December 11, 2023

Last Update: December 11, 2023

Deactivation Date: March 06, 2025

Update or Correct Profile

Mailing Address

914 South Ave Apt H4

Secane, PA 190184411

Phone: 2672883625

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.