Gerald G Tanguilig, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

160753 Issued in MA

Practice address

23 Whites Path
South Yarmouth, MA 02664-1221

Phone

(508) 398-6131

Fax

(508) 398-7440

NPI assigned

Oct 20, 2005

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 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Interoperability endpoints

• Direct secure messaging: tanguilig.gerald.ocb@direct.partners.masshiway.net

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

{
    "created_epoch": "1129766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640217600000",
    "number": "1679562789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 LIBBEY INDUSTRIAL PKWY STE 100",
            "city": "EAST WEYMOUTH",
            "state": "MA",
            "postal_code": "021893110",
            "telephone_number": "781-331-3300",
            "fax_number": "781-337-8356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 WHITES PATH",
            "city": "SOUTH YARMOUTH",
            "state": "MA",
            "postal_code": "026641221",
            "telephone_number": "508-398-6131",
            "fax_number": "508-398-7440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANGUILIG",
        "first_name": "GERALD",
        "middle_name": "G",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-20",
        "last_updated": "2021-12-23",
        "certification_date": "2021-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MA",
            "license": "160753",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3198502",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Tanguilig.Gerald.OCB@direct.partners.masshiway.net",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "97 Libbey Industrial Pkwy Ste 100",
            "city": "East Weymouth",
            "state": "MA",
            "country_code": "US",
            "postal_code": "021893110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Rachel Marie Stevens
• Alyssa Claire Stpierrearguello
• Laura Jeanne Strong, COTA
• Ariana Swanstrom, COTA/L
• Jodi Sylvester-Dickerson
• Peter Theoharidis, D.M.D.
• Jessen Thomas, DO
• Thomas David Tomasik, OD
• Edith Ann Tonelli, MA. PHD
• Transitions Centers Inc.

• Ophthalmology Physician in South Yarmouth, MA
• Providers in South Yarmouth, MA by specialty
• Ophthalmology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2021; 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.