Gail Louise Dickinson, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

032613 Issued in CT

Practice address

168 Rte. 171
S Woodstock, CT 06267-0366

Phone

(860) 928-7775

Fax

(860) 928-1397

NPI assigned

Jul 31, 2006

Last updated

Mar 14, 2011By the provider in NPPES

Sex

Female

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 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/1694/brand/19/csg/48/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Day Kimball Healthcare, Inc.

  • Community/Behavioral Health Agency
  • Putnam, CT
  • NPI 1104680966
  NPD
• Day Kimball Healthcare, Inc.

  • Community Health Clinic/Center
  • Putnam, CT
  • NPI 1265540967

  Internal Medicine

  NPD
• Day Kimball Healthcare, Inc.

  • General Acute Care Hospital
  • Putnam, CT
  • NPI 1649243478
  NPD
• Day Kimball Medical Group Inc

  • Family Medicine Physician
  • Putnam, CT
  • NPI 1376813972

  Internal Medicine

  NPD
• Nes Medical Services of Northern Connecticut, P.C.

  • Emergency Medicine Physician
  • Stafford Springs, CT
  • NPI 1194450478
  NPD
• Nes Medical Services of Northern Connecticut, P.C.

  • Emergency Medicine Physician
  • Putnam, CT
  • NPI 1447231865
  NPD
• University Pathologists, LLC

  • Anatomic Pathology Physician
  • Providence, RI
  • NPI 1568640886
  NPD

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300060800000",
    "number": "1336155118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 366",
            "city": "S WOODSTOCK",
            "state": "CT",
            "postal_code": "062670366",
            "telephone_number": "860-928-7775",
            "fax_number": "860-928-1397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 RTE. 171",
            "city": "S WOODSTOCK",
            "state": "CT",
            "postal_code": "062670366",
            "telephone_number": "860-928-7775",
            "fax_number": "860-928-1397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKINSON",
        "first_name": "GAIL",
        "middle_name": "LOUISE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2011-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "032613",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "010032613CT01",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1326132",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "30169",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anthony Chieffalo, M.D.
• Woodstock Medical Group, PC

• Internal Medicine Physician in S Woodstock, CT
• Providers in S Woodstock, CT by specialty
• Internal Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.