Skip to content
NPISignal

Individual Healthcare Provider

Jacob B Gibson, DO

NPI Record: ActiveInternal Medicine — Interventional Cardiology
NPI1780698811
Centerville, Ohio

Provider's NPPES record last updated: July 1, 2026

Overview

Entity Type
Individual Healthcare Provider
NPI
1780698811
Primary Specialty
Internal Medicine — Interventional Cardiology
Practice Location
Centerville, Ohio
Sole Proprietor
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 21, 2026, 3:43 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Internal Medicine

    Interventional Cardiology

    Allopathic & Osteopathic Physicians

    Primary

    An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

    Taxonomy code 207RI0011X
  • Nuclear Medicine

    Nuclear Cardiology

    Allopathic & Osteopathic Physicians

    A nuclear medicine physician who specializes in nuclear cardiology.

    Taxonomy code 207UN0901X
  • Internal Medicine

    Allopathic & Osteopathic Physicians

    A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

    Taxonomy code 207R00000X
  • Internal Medicine

    Cardiovascular Disease

    Allopathic & Osteopathic Physicians

    An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

    Taxonomy code 207RC0000X

Provider-Reported License Information

Internal Medicine (Ohio)
34008573
Nuclear Medicine (Ohio)
34008573
Internal Medicine (Ohio)
34-00-8573
Internal Medicine (Ohio)
34.008573
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

2400 Miami Valley Dr Ste 1000

Centerville, Ohio 45459-4774

Phone: (937) 223-4461

Additional Practice Location

1530 Needmore Rd Ste 300

Dayton, Ohio 45414-3980

Phone: (937) 277-4274

Fax: (937) 641-2655

Additional Practice Location

600 Aviator Ct Ste 100a

Vandalia, Ohio 45377-9474

Phone: (937) 277-4274

Fax: (937) 277-8476

Additional Practice Location

2400 Lakeview Dr Ste 230

Beavercreek, Ohio 45431-2581

Phone: (937) 320-0630

Fax: (937) 320-0633

Additional Practice Location

9000 N Main St Ste 101

Englewood, Ohio 45415-1184

Phone: (937) 832-2425

Fax: (937) 832-9804

Record Information

Enumeration Date
July 27, 2006
Provider's NPPES Record Last Updated
July 1, 2026
Certification Date
July 1, 2026
NPISignal NPPES Dataset
August 2026

See Something Wrong?

Incorrect provider information

Everything on this page comes directly from the NPPES data CMS publishes. NPISignal cannot edit a provider's record — only the provider or organization can, directly through NPPES.

Update a record through NPPES

Something wrong with this page?

If NPISignal is displaying this data incorrectly — a formatting error, a broken link, a mismatch with the source file — let us know.

Report a display issue