Active NPI
Richard R Gilston, MD
- Emergency Medicine Physician
- Nashua, NH
National Provider Identifier
1255406088
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 7429
- Practice address
- 172 Kinsley St
SJ Emergency Associates
Nashua, NH 03060-3648 - Phone
- (603) 578-5090
- NPI assigned
- Nov 21, 2006
- Last updated
- Jun 30, 2014
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 7429 | NH | Primary |
Addresses
Primary practice location
172 Kinsley St
SJ Emergency Associates
Nashua, NH 03060-3648
Mailing address
172 Kinsley St
SJ Emergency Associates
Nashua, NH 03060-3648
Phone (603) 578-5090
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30009960 | Medicaid | NH | |
| 0104693Y0NH02 | Other | NH | ANTHEM |
| 1255406088 | Other | NH | TUFTS |
| 44477 | Other | HARVARD PILGRIM | |
| 930050641 | Other | RAILROAD MEDICARE | |
| 1255406088 | Other | NH | BCBS NH |
| AA137760 | Other | NH | HARVARD PILGRIM |
| 0194620 | Medicaid | MA | |
| 291200099 | Medicaid | ME |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7429 | NH | MD | Emergency Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404086400000",
"number": "1255406088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "172 KINSLEY ST",
"address_2": "SJ EMERGENCY ASSOCIATES",
"city": "NASHUA",
"state": "NH",
"postal_code": "030603648",
"telephone_number": "603-578-5090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "172 KINSLEY ST",
"address_2": "SJ EMERGENCY ASSOCIATES",
"city": "NASHUA",
"state": "NH",
"postal_code": "030603648",
"telephone_number": "603-578-5090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILSTON",
"first_name": "RICHARD",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-21",
"last_updated": "2014-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NH",
"license": "7429",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30009960",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "0104693Y0NH02",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "1255406088",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "44477",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "930050641",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS NH",
"identifier": "1255406088",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "AA137760",
"state": "NH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0194620",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "291200099",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}Other providers in Nashua, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.