MARK R. GIBSON (NPI# 1730107038) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730107038 |
| Entity Type | Individual |
| Full Name | MARK R. GIBSON |
| Credential | MD |
| Practice Address |
119 Belmont St Department of Neurology Worcester MA 01605-2903 |
| Mailing Address |
Po Box 415348 Boston MA 02241-5348 |
| Practice Telephone | 5083346641 |
| Practice Fax Number | 5083346695 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2011-08-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
227243 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 2118815 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922434380 | Mark S. Gibson | Specialist/Technologist, Other | 2104 Blind Pond Ave, Lutz, FL 33549-5580 | 2013-09-17 |
| 1215211008 | Mark J. Gibson | Social Worker | 3610 American River Dr Ste 140, Sacramento, CA 95864-5919 | 2011-09-28 |
| 1922324276 | Mark Duane Gibson | Military Health Care Provider | Uss Louisville, Fpo, AP 96671-2404 | 2010-04-12 |
| 1225115561 | Mark Tanner Gibson | Psychologist | 175 River View Dr, Green River, WY 82935-4811 | 2006-11-01 |
| 1437133444 | Mark C Gibson | Optometrist | 16306 E Lake Shore Dr, Austin, TX 78734-1132 | 2005-12-02 |
| 1720083439 | Mark William Gibson | Chiropractor | 7a Reich Street, Marsing, ID 83639-0252 | 2005-06-17 |
| 1619391802 | Mark Gibson | Orthotist | 3334 Capital Medical Blvd #400, Tallahassee, FL 32308-4470 | 2014-02-10 |
| 1417231465 | Mark W Gibson | Pharmacist | 1982 Eight Mile Rd, Cincinnati, OH 45255-2609 | 2011-10-07 |
| 1174845259 | Mark Anthony Gibson II | Physical Therapist | 1028 E Main St, Morehead, KY 40351-1328 | 2010-02-17 |
| 1710122106 | Mark Alan Gibson | Radiology | 545 Ne 47th Ave Ste 215, Portland, OR 97213-2237 | 2008-12-13 |
| Street Address |
119 BELMONT ST DEPARTMENT OF NEUROLOGY |
| City | WORCESTER |
| State | MA |
| Zip Code | 01605-2903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992791339 | Trista A Brown | Physical Medicine & Rehabilitation | 119 Belmont St, Dept of Orthopedics, Worcester, MA 01605-2903 | 2005-09-21 |
| 1730788779 | Jaclyn Rose Mello | Registered Nurse | 119 Belmont St, Worcester, MA 01605-2903 | 2020-10-21 |
| 1881222362 | Rachel Catherine Taylor | Student in an Organized Health Care Education/Training Program | 119 Belmont St, Worcester, MA 01605-2903 | 2020-03-30 |
| 1255969937 | Aashna Saini | Student in an Organized Health Care Education/Training Program | 119 Belmont St, Worcester, MA 01605-2903 | 2020-03-30 |
| 1952939696 | Camille Dana Campion | Student in an Organized Health Care Education/Training Program | 119 Belmont St, Worcester, MA 01605-2903 | 2020-03-30 |
| 1215564356 | Briana L Jones | Student in an Organized Health Care Education/Training Program | 119 Belmont St, Worcester, MA 01605-2903 | 2020-03-26 |
| 1740817782 | Ciarra Louise Nickerson | Student in an Organized Health Care Education/Training Program | 119 Belmont St, Worcester, MA 01605-2903 | 2020-03-26 |
| 1619518461 | Pia Clive | Pharmacist | 119 Belmont St, Worcester, MA 01605-2903 | 2019-10-02 |
| 1144873894 | Heather Dubrule | Dietitian, Registered | 119 Belmont St, Worcester, MA 01605-2982 | 2019-07-22 |
| 1023661360 | Jennifer Parker | Dietitian, Registered | 119 Belmont St, Worcester, MA 01605-2903 | 2019-07-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083228340 | Francisca A Bediako | Registered Nurse | Commonwealth Care Alliance, 100 North Parkway-suite # 202, Worcester, MA 01605 | 2020-09-03 |
| 1922660646 | Jenna Patricia Mullarkey | Counselor | Ummmc, Hahnemann Family Health Center, 279 Lincoln Street, Worcester, MA 01605 | 2019-07-02 |
| 1295219293 | Valerie Ann Wedge | Social Worker | 382 Plantation Street, Worcester, MA 01605 | 2018-09-17 |
| 1154800290 | Keri Innis-grant | Counselor | 108 Grove Street, Ste Ll11, Worcester, MA 01605 | 2018-08-09 |
| 1184119463 | Madiinah Namutebi | Registered Nurse | 56 Olga Ave, Worcester, MA 01605 | 2018-06-28 |
| 1841789310 | Ashley Murray | Psychologist | 361 Plantation St., Attn: Forensic Services, Worcester, MA 01605 | 2018-05-09 |
| 1184126419 | Nadia Saforo | Nurse Practitioner | 509 Plantation St Apt 221, Worcester, MA 01605 | 2018-03-02 |
| 1548779044 | Arnold Kamau Thuku | Behavioral Analyst | 55 Erie Ave, Worcester, MA 01605 | 2017-09-27 |
| 1417466483 | Sabine Erica Charles-arbouet | Registered Nurse | 25 Oriol Drive, Worcester, MA 01605 | 2017-09-21 |
| 1548787864 | Alyssa Lynn Champagne | Behavioral Analyst | 19 Judson Rd, Worcester, MA 01605 | 2017-08-28 |
| Find all providers in zip 01605 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730594243 | Ting Wu | Psychiatry & Neurology | 36 Chestnut St, Apt 7, Worcester, MA 01609-2843 | 2014-06-23 |
| 1932519287 | Joshua Daniel Claunch | Psychiatry & Neurology | 123 Summer St Ste 230s, Worcester, MA 01608-1216 | 2014-05-07 |
| 1972867992 | Anna Bjornsdottir | Psychiatry & Neurology | 55 Lake Av N, Worcester, MA 01655 | 2012-06-25 |
| 1043251598 | Herbert Markley | Psychiatry & Neurology | 85 Prescott St Ste 101, Worcester, MA 01605-2610 | 2006-06-08 |
| 1871549089 | Scott B Silverman | Psychiatry & Neurology | 55 Lake Avenue North, Neurology, Umass Medical Center, Worcester, MA 01655 | 2006-05-26 |
| 1801877329 | Muhammad Ramzan | Psychiatry & Neurology | 67 Belmont St Dept Of, Worcester, MA 01605-2657 | 2005-11-10 |
| 1922481902 | Muhammad Umer Azeem | Psychiatry & Neurology | 55 Lake Ave N, Worcester, MA 01655-0002 | 2015-07-08 |
| 1811300536 | Edouard Kamel | Psychiatry & Neurology | 55 Lake Ave N, Worcester, MA 01655-0002 | 2014-06-10 |
| 1760809743 | Kyle Christopher Rossi | Psychiatry & Neurology | 55 Lake Ave N, Worcester, MA 01655-0002 | 2014-03-27 |
| 1518399443 | Neville M Jadeja | Psychiatry & Neurology | 55 Lake Ave N, Worcester, MA 01655-0002 | 2013-08-02 |
| Find all providers in WORCESTER | ||||
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| 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.