Individual provider Active NPI

Michael Gilman, PA

  • Medical Physician Assistant
  • Falmouth, MA
National Provider Identifier
1851327969
Registry record updated Oct 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
4155 Issued in MA
Practice address
21 Bramble Bush Dr
Falmouth, MA 02540-2325
Phone
(508) 495-5160
Fax
(508) 495-5170
NPI assigned
Jun 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 4155 MA Primary

Addresses

Primary practice location

21 Bramble Bush Dr
Falmouth, MA 02540-2325

Mailing address

21 Bramble Bush Dr
Falmouth, MA 02540-2325
Phone (508) 495-5160

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110805000080 MA Practitioner - Physician Assistant 0143281576 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
4155MAMDMental Health Counselor
3379AZMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Affiliates of Cape Cod, Inc. CurrentSince Jun 1, 2011 Accepting new patients
Mid-Hudson Family Health Institute Past Accepting new patients

Locations

21 Bramble Bush Dr
Falmouth, MA 02540
Phone (508) 495-5160

27 Park St
Hyannis, MA 02601
Phone (508) 775-5011

37 Edgerton Dr
North Falmouth, MA 02556
Phone (508) 563-2094

495 Station Ave
South Yarmouth, MA 02664
Phone (508) 957-7400

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.

NPI Registry JSON

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381881600000",
    "number": "1851327969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 BRAMBLE BUSH DR",
            "city": "FALMOUTH",
            "state": "MA",
            "postal_code": "025402325",
            "telephone_number": "508-495-5160",
            "fax_number": "508-495-5170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 BRAMBLE BUSH DR",
            "city": "FALMOUTH",
            "state": "MA",
            "postal_code": "025402325",
            "telephone_number": "508-495-5160",
            "fax_number": "508-495-5170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILMAN",
        "first_name": "MICHAEL",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2013-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MA",
            "license": "4155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falmouth, MA

Sources for this page

Verify at the official NPI Registry.