Active NPI
Linda Mary Tambascio Gibbons, PA
- Dermatology Physician
- Norwood, MA
National Provider Identifier
1508918145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 1010
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 970010507 | Other | RAILROAD 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
Enrollment records 1
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
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 100
- Quality
- 84.83
- Promoting interoperability
- 99
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1010 | MA | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Da Mass PC | Dermatology | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Dermatology Physician
- Norwood, MA
- NPI 1063570075
-
- Dermatology Physician
- Norwood, MA
- NPI 1801569363
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.