Gilbert Joseph Fanciullo, MD

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

9961 Issued in NH

Practice address

1 Medical Center Dr
DHMC Section of Pain Medicine
Lebanon, NH 03756-1000

Phone

(603) 650-6040

Fax

(603) 650-8199

NPI assigned

Jun 11, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310342400000",
    "number": "1275575862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER DR",
            "address_2": "DHMC SECTION OF PAIN MEDICINE",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037561000",
            "telephone_number": "603-650-6040",
            "fax_number": "603-650-8199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER DR",
            "address_2": "DHMC SECTION OF PAIN MEDICINE",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037561000",
            "telephone_number": "603-650-6040",
            "fax_number": "603-650-8199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANCIULLO",
        "first_name": "GILBERT",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-11",
        "last_updated": "2011-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NH",
            "license": "9961",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30010239",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0RE4393",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julie Patterson Fago, M.D.
• Leslie Hendricks Fall, MD
• Caroline J Fallon, APRN
• Families Flourish Northeast Inc.
• Gail Denise Fancher, D.O.
• Chih Yu Fang, MD
• Alexandra Fannin, NP-C
• Keith Ray Fannin, RN
• Michael Jacob Farber
• Hannah Rose Faretra, PHARMD

• Pain Medicine (Anesthesiology) Physician in Lebanon, NH
• Providers in Lebanon, NH by specialty
• Pain Medicine (Anesthesiology) Physician in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.