TIMOTHY E GIBSON M.D.
NPI 1336120062
Pediatrics in Worcester,


Quality Rating: 100 out of 100 score

NPI Status: Active since November 9, 2005

Contact Information

55 Lake Ave N
Worcester,
Post Code: 01655
Phone: (508) 856-3590
Fax: (508) 856-7989

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Timothy E Gibson M.d. in Worcester - Pediatrics

Timothy E Gibson M.d. is a Pediatrics in Worcester, . Timothy E Gibson M.d. practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Timothy E Gibson M.d. is 1336120062. The last update date is 2020-11-08.

Timothy E Gibson M.d.'s current location address is 55 Lake Ave N, Worcester, . You can contact this provider via phone number (508) 856-3590 and fax number (508) 856-7989. The mailing address for Timothy E Gibson M.d. is 55 Lake Ave N, Worcester, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1336120062
Provider Name
TIMOTHY E GIBSON M.D.
Gender
Male
Entity Type
Individual
Location Address
55 Lake Ave N, Worcester,
Location Phone
(508) 856-3590
Location Fax
(508) 856-7989
Mailing Address
Po Box 415348, Boston, Massachusetts(MA)
Mailing Phone
800-225-8885
Mailing Fax
508-334-1977
Enumeration Date
2005-11-09
Last Update Date
2020-11-08
Code Navigator

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics

Taxonomy Code
208000000X
Type
-
License No.
212163
License State
Massachusetts (MA)
Taxonomy Description
-

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1 2080P0204X Pediatric Emergency Medicine (Pediatrics) Physician

Pediatrics, Pediatric Emergency Medicine

212163 (Massachusetts)

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
110005892A MEDICAID (05) Massachusetts (MA)
A3400004 Other (non-Medicare) (01) Massachusetts (MA) Medicare

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1336120062
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2366220012
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 2366220012
2 + 3 + 6 + 6 + 2 + 2 + 0 + 0 + 1 + 2 + 24 = 48
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 48 = 2 2

The NPI number 1336120062 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1023011061 WALTER CARY LETIEN
Individual
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BEVERLY, Massachusetts (MA)
978-922-1888
1023011228 TRACY A HARADON
Individual
Optometrist 453 SUMNER AVE
SPRINGFIELD, Massachusetts (MA)
413-733-5155
1225031354 JONATHAN H MARSH
Individual
Internal Medicine, Hematology & Oncology 40 WRIGHT ST
PALMER, Massachusetts (MA)
413-284-5400
1114920121 RICHARD E BAKER
Individual
Podiatrist, Foot & Ankle Surgery 68 CAMP ST STE 2
HYANNIS, Massachusetts (MA)
774-470-4507
1184627184 JESSICA A REED
Individual
Social Worker, Clinical 8 OLD GREENDALE AVE
NEEDHAM, Massachusetts (MA)
508-930-2342