Individual provider Active NPI

Thomas M Gilson, D.O.

  • Neuromusculoskeletal Medicine & OMM Physician
  • Falmouth, ME
National Provider Identifier
1619960945
Registry record updated Oct 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X
License
1763 Issued in ME
Practice address
98 Clearwater Drive
Falmouth, ME 04105
Phone
(207) 781-7900
Fax
(207) 781-2900
NPI assigned
Aug 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM Physician 204D00000X 1763 ME Primary

Addresses

Primary practice location

98 Clearwater Drive
Falmouth, ME 04105

Mailing address

98 Clearwater Drive
Suite One
Falmouth, ME 04105
Phone (207) 781-7900

Other identifiers 1

IdentifierTypeStateIssuer
MM7302OtherMEDICARE ID - GROUP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050602001101 ME Practitioner - Osteopathic Manipulative Medicine 1951344795 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Osteopathic Manipulative Medicine
Education
University of New England, College of Osteo Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Osteopathic Healthcare of Maine, P.a.Group PAC ID 6406877448, 5 clinicians

Practice addresses (Care Compare)

98 Clearwater Dr
Falmouth, ME 04105-1398
Phone (207) 781-7900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
1763MEMDNeuromusculoskeletal Medicine & OMM Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Osteopathic Healthcare of Maine, P.a. Neuromusculoskeletal Medicine & Omm CurrentSince Jul 1, 2002 Accepting new patients

Locations

98 Clearwater Dr
Falmouth, ME 04105
Phone (207) 781-7900

98 Clearwater Dr
Ste 1
Falmouth, ME 04105
Phone (207) 781-7900

281 Veranda St
#C
Portland, ME 04103
Phone (207) 828-0825

Interoperability endpoints

  • Direct secure messaging: tgilson@ohom-me.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 1

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": "1124755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414454400000",
    "number": "1619960945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 CLEARWATER DRIVE",
            "address_2": "SUITE ONE",
            "city": "FALMOUTH",
            "state": "ME",
            "postal_code": "04105",
            "telephone_number": "207-781-7900",
            "fax_number": "207-781-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 CLEARWATER DRIVE",
            "city": "FALMOUTH",
            "state": "ME",
            "postal_code": "04105",
            "telephone_number": "207-781-7900",
            "fax_number": "207-781-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILSON",
        "first_name": "THOMAS",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-23",
        "last_updated": "2014-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "ME",
            "license": "1763",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID - GROUP",
            "identifier": "MM7302",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Falmouth, ME

Sources for this page

Verify at the official NPI Registry.