Subject Numbers Regarding Health Provider Authorizations

Authorization No. 226006-5W

July 29, 2013

Please be advised that Dr. William Gibbs has been removed from the list of authorized providers based on information provided by the New York State Education Department indicating that Dr. Gibbs does not currently have an active license to practice medicine in New York State.

Pursuant to Workers' Compensation Law § 13-b, a provider must be licensed and registered with the New York State Education Department in order to maintain a Workers' Compensation Board authorization(s). Therefore, Dr. Gibbs' authorization to treat injured workers within the New York State workers' compensation system has been removed effective May 10, 2013. Dr. Gibbs' last known practice address is 77-42 164th Street, Fresh Meadows, New York 11366.

Dr. Gibbs is prohibited from rendering treatment and care to injured workers. Reports submitted by Dr. Gibbs for services rendered prior to May 10, 2013, are valid, but are invalid for any services rendered on or after that date. Requests to cross-examine Dr. Gibbs for services rendered prior to May 10, 2013, should not be denied due to the removal of his authorization.

Any questions regarding the authorized lists should be referred to the Medical Director's Office at 1 (800) 781-2362.