Dr. Timothy E Gibson
M.D. | Pediatrics | Male
Dr. Timothy E Gibson, M.D. is a Worcester, Massachusetts based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Timothy E Gibson is
55 Lake Ave N, Department Of Pediatric Hospitalist Medicine, Worcester, Massachusetts - 01655-0002. He can be contacted on phone at
508-856-3590 and fax number 508-856-7989.
Dr. Timothy E Gibson is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Timothy E Gibson is
1336120062 which was assigned by NPPES on 09 Nov, 2005 and it was last updated on 08 Nov, 2020.
Dr. Timothy E Gibson license number is
212163 for Pediatrics (208000000X) in Massachusetts.
Dr. Timothy E Gibson is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Timothy E Gibson basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Dr. Timothy E Gibson |
|---|
| Credential : | M.D. |
|---|
| Gender : | Male |
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Business Address:
Dr. Timothy E Gibson address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 55 Lake Ave N, Department Of Pediatric Hospitalist Medicine
Worcester, MA, 01655-0002
United States |
|---|
| Phone Number : | 508-856-3590 |
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| Fax Number : | 508-856-7989 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1336120062 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 09 Nov, 2005 |
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| Last Updated On : | 08 Nov, 2020 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Timothy E Gibson are as mentioned. Primary taxonomy code for Dr. Timothy E Gibson, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 212163 | MA |
| 2080P0204X | Pediatrics Pediatric Emergency Medicine | No | 212163 | MA |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Timothy E Gibson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| A3400004 | Other | MA | MEDICARE |
| 110005892A | MEDICAID | MA | |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
DIRECT
(Direct Messaging Address) | tgibson22743@UmassMemorial.direct-ci.com
| No affiliation |
|
| 55 LAKE AVE N, DEPARTMENT OF PEDIATRIC HOSPITALIST MEDICINE
WORCESTER, MA, 01655-0002
United States |
FHIR
(FHIR URL) | https://epicproxy.et0978.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
| No affiliation |
|
| 55 LAKE AVE N, DEPARTMENT OF PEDIATRIC HOSPITALIST MEDICINE
WORCESTER, MA, 01655-0002
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 415348
Boston, MA, 02241-0001
United States |
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| Phone Number : | 800-225-8885 |
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| Fax Number : | 508-334-1977 |
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Business Location:
Patients can refer following map for directions to
Dr. Timothy E Gibson practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.