Active NPI
Gibson Thomas George, M.D.
- Psychiatry Physician
- Sellersville, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD454454
- Practice address
- 807 Lawn Ave
Sellersville, PA 18960-1549 - Phone
- (215) 257-6551
- NPI assigned
- Jul 2, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD454454 | PA | Primary |
| Addiction Psychiatry Physician | 2084P0802X | 275407 | NY |
Addresses
Primary practice location
807 Lawn Ave
Sellersville, PA 18960-1549
Mailing address
807 Lawn Ave
Sellersville, PA 18960-1549
Phone (215) 257-6551
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150721000304 | PA | Practitioner - Psychiatry | 7315250339 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1021 Park Ave
Quakertown, PA 18951-0130
Phone (215) 538-4500
Hospital & facility affiliations
- St Luke'S Hospital - Grand View Campus
- St Luke'S Hospital - Upper Bucks Campus
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 275407 | NY | MD | Addiction Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Luke'S Physician Group Inc | Current | Accepting new patients | |
| Einstein Practice Plan Inc | Current | Accepting new patients | |
| St. Luke'S Physician Group, Inc. | Current | Accepting new patients | |
| St. Luke'S Physician Group, Inc. | Psychiatry | Current | Accepting new patients |
| Einstein Practice Plan Inc | Psychiatry | Current | Accepting new patients |
| Penn Foundation Inc | Current | Accepting new patients |
Locations
421 Chew St
Allentown, PA 18102
Phone (610) 776-4500
801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200
5501 Old York Rd
Ste 3
Philadelphia, PA 19141
Phone (215) 456-7180
5501 York Rd
Philadelphia, PA 19141
Phone (215) 456-7405
807 Lawn Ave
Sellersville, PA 18960
Organizations & group practices 6
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.
-
- Certified Registered Nurse Anesthetist
- Philadelphia, PA
- NPI 1457047433
-
- Family Medicine Physician
- Orwigsburg, PA
- NPI 1710845144
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Bethlehem, PA
- NPI 1326061581
Psychiatry
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sellersville, PA
- NPI 1568459287
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435708800000",
"number": "1881906014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "807 LAWN AVE",
"city": "SELLERSVILLE",
"state": "PA",
"postal_code": "189601549",
"telephone_number": "215-257-6551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "807 LAWN AVE",
"city": "SELLERSVILLE",
"state": "PA",
"postal_code": "189601549",
"telephone_number": "215-257-6551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEORGE",
"first_name": "GIBSON",
"middle_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-07-02",
"last_updated": "2015-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "PA",
"license": "MD454454",
"primary": true
},
{
"code": "2084P0802X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Addiction Psychiatry",
"state": "NY",
"license": "275407",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sellersville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2015; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.