Active NPI
Gail L Torkildsen, M.D.
- Ophthalmology Physician
- Andover, MA
National Provider Identifier
1245215805
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 154418
- Practice address
- 138 Haverhill St
Suite 104
Andover, MA 01810-1509 - Phone
- (978) 475-0705
- Fax
- (978) 475-0008
- NPI assigned
- Dec 7, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 154418 | MA | Primary |
Addresses
Primary practice location
138 Haverhill St
Suite 104
Andover, MA 01810-1509
Mailing address
138 Haverhill St
Suite 104
Andover, MA 01810-1509
Phone (978) 475-0705
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AA26686 | Other | MA | HARVARD PILGRIM HEALTH CA |
| 154418 | Other | MA | TUFTS HEALTH PLAN |
| 0195294 | Medicaid | MA | |
| P00406045 | Other | RAILROAD MEDICARE | |
| J19536 | Other | BC/BS OF MASSACHUSETTS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- gtorkildsen@andovereye.intellechartdirect.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194998400000",
"number": "1245215805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "138 HAVERHILL ST",
"address_2": "SUITE 104",
"city": "ANDOVER",
"state": "MA",
"postal_code": "018101509",
"telephone_number": "978-475-0705",
"fax_number": "978-475-0008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "138 HAVERHILL ST",
"address_2": "SUITE 104",
"city": "ANDOVER",
"state": "MA",
"postal_code": "018101509",
"telephone_number": "978-475-0705",
"fax_number": "978-475-0008"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TORKILDSEN",
"first_name": "GAIL",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-07",
"last_updated": "2007-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MA",
"license": "154418",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM HEALTH CA",
"identifier": "AA26686",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "154418",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0195294",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00406045",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS OF MASSACHUSETTS",
"identifier": "J19536",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Andover, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.