Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jacob B Gibson, DO

Individual provider Nuclear Cardiology Physician · NPI 1780698811

Dr. Jacob B Gibson, DO is an Interventional Cardiology in Centerville, Ohio. Qualified in 2003, 23 years ago. Practices with Premier Health Specialists Inc, a 575-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
23
Licensed in
OH
In the registry since
2006
Specialties on file
4
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

2400 Miami Valley Dr Ste 1000
Centerville, OH 45459-4774
Phone: (937) 223-4461
Fax: (937) 449-7603
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 2400 Lakeview Dr Ste 230, Beavercreek, OH 45431-2581 — (937) 320-0630
  • 1530 Needmore Rd Ste 300, Dayton, OH 45414-3980 — (937) 277-4274
  • 9000 N Main St Ste 101, Englewood, OH 45415-1184 — (937) 832-2425
  • 600 Aviator Ct Ste 100a, Vandalia, OH 45377-9474 — (937) 277-4274

Specialties & licences

Interventional Cardiology Physician (primary) Taxonomy 207RI0011X · Licence 34008573 (OH)
Nuclear Cardiology Physician Taxonomy 207UN0901X · Licence 34008573 (OH)
Internal Medicine Physician Taxonomy 207R00000X · Licence 34-00-8573 (OH)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence 34.008573 (OH)

Record details

NPI number1780698811
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJuly 27, 2006
Last updated in NPPESJuly 1, 2026
Certification dateJuly 1, 2026
Mailing address3170 Kettering Blvd Bldg B, Moraine, OH 45439-1924

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERVENTIONAL CARDIOLOGY
Also practisesCARDIOVASCULAR DISEASE (CARDIOLOGY), INTERNAL MEDICINE
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Premier Health Specialists Inc — 575 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount