Individual provider Active NPI

Linda Mary Tambascio Gibbons, PA

  • Dermatology Physician
  • Norwood, MA
National Provider Identifier
1508918145
Registry record updated Jun 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
1010 Issued in MA
Practice address
95 Chapel St
Norwood, MA 02062
Phone
(781) 762-5858
Fax
(781) 949-4343
NPI assigned
Jan 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 1010 MA Primary

Addresses

Primary practice location

95 Chapel St
Norwood, MA 02062

Mailing address

95 Chapel St
Norwood, MA 02062
Phone (781) 762-5858

Other identifiers 1

IdentifierTypeStateIssuer
970010507OtherRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111103000822 MA Practitioner - Physician Assistant 8022281237 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Associates PCGroup PAC ID 7012982044, 19 clinicians

Practice addresses (Care Compare)

128 Carnegie Row
Norwood, MA 02062-5010

440 E Central St
Franklin, MA 02038-1374
Phone (781) 762-5858

Merit-based Incentive Payment System (MIPS)

Final score
91.36 of 100Reported as individual
Quality
84.83
Promoting interoperability
99
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1010MAMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Da Mass PC Dermatology Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ltambasciogibbons@apderm.emadirect.md

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277683200000",
    "number": "1508918145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 CHAPEL ST",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "02062",
            "telephone_number": "781-762-5858",
            "fax_number": "781-949-4343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 CHAPEL ST",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "02062",
            "telephone_number": "781-762-5858",
            "fax_number": "781-949-4343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAMBASCIO GIBBONS",
        "first_name": "LINDA",
        "middle_name": "MARY",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2010-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MA",
            "license": "1010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "970010507",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwood, MA

Sources for this page

Verify at the official NPI Registry.