Active NPI
Marie T Gilbert, PA-C
- Physician Assistant
- Dover, NH
National Provider Identifier
1679638324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0074
- Practice address
- 789 Central Ave
Dover, NH 03820-8800 - Phone
- (603) 742-5252
- NPI assigned
- Dec 23, 2006
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0074 | NH | Primary |
Addresses
Primary practice location
789 Central Ave
Dover, NH 03820-8800
Mailing address
113 New Rochester Rd 2
Dover, NH 03820-8800
Phone (603) 742-6555
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 80000236 | Medicaid | NH | |
| 04482901 | Other | NH | ANTHEM BLUE CROSS |
| 3096838 | Medicaid | NH | |
| 798699 | Other | NH | MVP |
| 970018851 | Other | NH | RAILROAD MEDICARE |
| 9756546 | Other | NH | CIGNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Joseph D. White Ear, Nose, Throat Medicine & Surgery PC | Past | Accepting new patients |
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.
-
- Specialist
- Dover, NH
- NPI 1659439537
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444780800000",
"number": "1679638324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "113 NEW ROCHESTER RD 2",
"city": "DOVER",
"state": "NH",
"postal_code": "038208800",
"telephone_number": "603-742-6555",
"fax_number": "603-742-2908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "789 CENTRAL AVE",
"city": "DOVER",
"state": "NH",
"postal_code": "038208800",
"telephone_number": "603-742-5252"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILBERT",
"first_name": "MARIE",
"middle_name": "T",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-23",
"last_updated": "2015-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NH",
"license": "0074",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "80000236",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE CROSS",
"identifier": "04482901",
"state": "NH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3096838",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP",
"identifier": "798699",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "970018851",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "9756546",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dover, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.