John W Gittinger Jr., MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

40297 Issued in MA

Practice address

2005 Bay St
Suite 201
Taunton, MA 02780-1085

Phone

(508) 823-7473

Fax

(508) 824-3830

NPI assigned

Sep 27, 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 5

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Umass Memorial Medical Group Inc

  • Internal Medicine Physician
  • Worcester, MA
  • NPI 1760445373
  NPD (past)

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212969600000",
    "number": "1760479406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 BAY ST",
            "address_2": "SUITE 201",
            "city": "TAUNTON",
            "state": "MA",
            "postal_code": "027801085",
            "telephone_number": "508-823-7473",
            "fax_number": "508-824-3830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 BAY ST",
            "address_2": "SUITE 201",
            "city": "TAUNTON",
            "state": "MA",
            "postal_code": "027801085",
            "telephone_number": "508-823-7473",
            "fax_number": "508-824-3830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GITTINGER",
        "first_name": "JOHN",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-27",
        "last_updated": "2008-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MA",
            "license": "40297",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "729655",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM HEALTH CA",
            "identifier": "152360BMC",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2365172",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "M09513",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2053543",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Macdonald Gillan
• John Vaughn Gilmore Jr., PH.D.
• Sarah A Gingras
• Robert J Ginisi Jr.
• Kae Gisherman, LCSW
• Aprile Giugliano, M.A.
• Karin Lee Giuliano, MED
• Adam Gladstone
• Karen E Goddard, LICSW
• Jonathan Gold, MA

• Ophthalmology Physician in Taunton, MA
• Providers in Taunton, MA by specialty
• Ophthalmology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.