CHARLES M GIBSON


Address: 350 Longwood Ave, 1st Floor, Boston, MA 02115-5726
Phone: 6175256884

CHARLES M GIBSON (NPI# 1124053277) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1124053277
Entity Type Individual
Full Name CHARLES M GIBSON
Credential M.D.
Practice Address 350 Longwood Ave
1st Floor
Boston
MA 02115-5726
Mailing Address 1 Carter Dr
Natick
MA 01760-2956
Practice Telephone 6175256884
Mailing Telephone 6175256884
Enumeration Date 2006-07-11
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RI0011X Internal Medicine
Specialization: Interventional Cardiology
59954 MA Allopathic & Osteopathic Physicians

Other Providers CHARLES GIBSON

NPI Name Taxonomy Address Enumeration
1528028073 Charles F Gibson Psychologist 210 E Milltown Rd Ste B, Wooster, OH 44691-1200 2006-03-27
1205830262 Charles Robert Gibson Optometrist 555 E Medical Center Blvd, Suite 101, Webster, TX 77598-4326 2005-06-08
1003423013 Charles Keith Gibson In Home Supportive Care 4110 Ann Elise Ct, Fairfield Township, OH 45011-6211 2020-09-24
1992348551 Charles C Gibson Case Manager/Care Coordinator 1404 E Church St, Warren, AR 71671 2019-10-25
1740596402 Charles Jerard Gibson Surgery 221 Michigan St Ne Ste 400, Grand Rapids, MI 49503-2543 2010-08-19
1598975112 Charles Gibson Social Worker 2100 Comer Ave, Columbus, GA 31904-8725 2007-05-23
1285772350 Charles Gary Gibson Dentist 2068 Bridgeport Ave, Milford, CT 06460-4634 2007-02-02
1972673432 Charles Gibson Optometrist 2425 Zero St, Fort Smith, AR 72901-8663 2006-11-09
1780778365 Charles Brooks Gibson Counselor 283 Biltmore Ave, Asheville, NC 28801-4157 2006-10-03

Office Location

Street Address 350 LONGWOOD AVE
1ST FLOOR
City BOSTON
State MA
Zip Code 02115-5726

Providers in the same location

NPI Name Taxonomy Address Enumeration
1396001152 Justin C Voog Student in an Organized Health Care Education/Training Program 350 Longwood Ave, Suite 205, Boston, MA 02115-5726 2012-04-05
1124339817 John F. Cyr Physician Assistant 350 Longwood Ave, First Office Floor, Boston, MA 02115-5726 2010-06-28
1578893384 Annmarie C. Wilson Nurse Practitioner 350 Longwood Ave, Boston, MA 02115-5726 2009-12-30
1316046618 Cvs Pharmacy Inc Pharmacy 350 Longwood Ave, Boston, MA 02115-5726 2006-09-22
1588773055 Procare Pharmacy, LLC Durable Medical Equipment & Medical Supplies 350 Longwood Ave, Ste B, Boston, MA 02115-5726 2006-08-29

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013524339 Jacqueline Busa Student in an Organized Health Care Education/Training Program Northeastern University 336 Huntington Ave, Boston, MA 02115 2020-09-30
1417564279 Katherine Rose Brainard Student in an Organized Health Care Education/Training Program 336 Huntington Avenue, Boston, MA 02115 2020-09-25
1679189112 Tara Baxter Orthopaedic Surgery Boston Children's Hospital - Sports Medicine Division, 319 Longwood Avenue, Boston, MA 02115 2020-09-21
1053923110 Wendy Tu Student in an Organized Health Care Education/Training Program 75 Francis Street Abdominal Imaging and Intervention, Department of Radiology, Brigham and Women's Hospital, Boston, MA 02115 2020-08-20
1477177335 Nicolas Wyvekens Student in an Organized Health Care Education/Training Program 75 Francis Street Department of Pathology, Brigham And, Boston, MA 02115 2020-06-05
1669095923 Erin Crocker Student in an Organized Health Care Education/Training Program Northeastern University Physician Assistant Program, 360 Huntington Avenue, Boston, MA 02115 2020-05-21
1033732417 Tyler Francis Hayes Student in an Organized Health Care Education/Training Program Gordon Hall, Suite 213, 25 Shattuck Street, Boston, MA 02115 2020-05-20
1982225090 Emily Blake Student in an Organized Health Care Education/Training Program 202 Robinson Hall, 360 Huntington Avenue, Boston, MA 02115 2020-04-29
1891315495 Stephanie Schoch Student in an Organized Health Care Education/Training Program 360 Huntington Ave., 202 Robinson Hall, Boston, MA 02115 2020-04-23
1427678093 Meghan Miles Student in an Organized Health Care Education/Training Program 360 Huntington Avenue 202 Robinson Hall, Boston, MA 02115 2020-04-23
Find all providers in zip 02115

Taxonomy Information

Taxonomy Code 207RI0011X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Interventional Cardiology

Taxonomy Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine)

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1659318335 Samuel J Shubrooks Jr. Internal Medicine 1 Deaconess Rd,baker 4, Beth Israel Deaconess Medical Ctr, Boston, MA 02215 2006-06-01
1639784408 Pankaj Jain Internal Medicine 800 Washington St, Boston, MA 02111-1552 2020-09-09
1598373946 Jonathan Gabriel Sung Internal Medicine 75 Francis St, Boston, MA 02115-6106 2020-07-21
1376069039 Nicola Maschietto Internal Medicine 300 Longwood Ave, Boston, MA 02115-5724 2017-08-15
1861747404 Alexis Matteau Internal Medicine 75 Francis St, Boston, MA 02115-6110 2012-07-19
1689930174 Brian Patrick Quinn Jr. Internal Medicine 300 Longwood Ave, Boston, MA 02115-5724 2012-04-09
1023271749 Ryan M Callahan Internal Medicine 300 Longwood Ave, Boston, MA 02115-5724 2008-07-02
1881795730 Reza Fazel Internal Medicine 70 Francis St, Sh-5, Boston, MA 02115-6134 2006-09-25
1023045127 Diego Porras Ingouville Internal Medicine 300 Longwood Ave, Boston, MA 02115 2006-06-26
1851358162 Jane Anne Leopold Internal Medicine 75 Francis Street, Brigham & Womens Hospital, Boston, MA 02115 2006-04-28
Find all providers in BOSTON

Competitor

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City BOSTON
Zip Code 02115

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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