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

Richard Gibbons

Individual provider Medical Physician Assistant · NPI 1790760221

Richard Gibbons is a Physician Assistant in Erie, Pennsylvania. Qualified in 1997, 29 years ago. Practices with Great Lakes Physician Practice PC, a 143-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
29
Licensed in
PA
In the registry since
2005
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Practice location Address checks out

232 W 25th St
Erie, PA 16544-0002
Phone: (814) 452-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence MA002697L (PA)

Record details

NPI number1790760221
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 7, 2005
Last updated in NPPESMay 24, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Great Lakes Physician Practice Pc — 143 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Erie