DR. MARY D GIBNEY (NPI# 1801885918) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801885918 |
| Entity Type | Individual |
| Full Name | DR. MARY D GIBNEY |
| Credential | MD |
| Practice Address |
198 Massachusetts Ave Ste 105 North Andover MA 01845-4143 |
| Mailing Address |
280 Merrimack St Ste 311 Lawrence MA 01843-1779 |
| Practice Telephone | 9786915690 |
| Practice Fax Number | 9786915693 |
| Mailing Telephone | 9786915690 |
| Mailing Fax Number | 9786915693 |
| Enumeration Date | 2005-10-20 |
| Last Update Date | 2017-10-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
150484 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 3152243 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 198 Mass Ave, Suite 105, N Andover, MA 018454143 | 9786873335 | 9786899041 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619229598 | Mary Ann Gibney | Registered Nurse | 1 Delaware Rd, Kenmore, NY 14217-2743 | 2012-10-03 |
| Street Address |
198 MASSACHUSETTS AVE STE 105 |
| City | NORTH ANDOVER |
| State | MA |
| Zip Code | 01845-4143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407845712 | Owen David Reynolds | Dermatology | 198 Massachusetts Ave Ste 105, North Andover, MA 01845-4143 | 2005-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780222091 | Bh Brightview North Andover Opco, LLC | Alzheimer Center (Dementia Center) | 1275 Turnpike Street, North Andover, MA 01845 | 2019-12-17 |
| 1770132052 | Nancy Boshar | Social Worker | 109 Saw Mill Road, North Andover, MA 01845 | 2019-09-09 |
| 1497307854 | Maria Nappa | Nurse Practitioner | 47 High Street, Suite 101, North Andover, MA 01845 | 2019-07-15 |
| 1235794041 | North Andover Women's Care Pllc | Obstetrics & Gynecology | 100 Andover Bypass, Suite 300, North Andover, MA 01845 | 2019-05-07 |
| 1891278040 | Kristen Dee | Counselor | 6 Garnet Circle, North Andover, MA 01845 | 2018-09-13 |
| 1154809770 | Oped Medical, Inc. | Durable Medical Equipment & Medical Supplies | 37 Flagship Drive, North Andover, MA 01845 | 2018-08-06 |
| 1902382658 | Barry Myers | Physical Therapist | 231 Sutton Street, Suite 1c, North Andover, MA 01845 | 2018-07-16 |
| 1174042337 | Beth Israel Lahey Health Primary Care, Inc. | Internal Medicine | Lahey Health Primary Care, North Andover, 170 Pleasant St., N. Andover, MA 01845 | 2017-09-19 |
| 1174041792 | Eric Tweedie | Specialist/Technologist | 72 Fernview Ave Apt 2, North Andover, MA 01845 | 2017-09-04 |
| 1043734379 | Hiron Health | Internal Medicine | 820a Turnpike Street, North Andover, MA 01845 | 2017-07-28 |
| Find all providers in zip 01845 | ||||
| Taxonomy Code | 207NS0135X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | Procedural Dermatology |
| Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). |
| Notes: Source: American Board of Dermatology, 2007, www.abderm.org [1/1/2008: definition added, source added, title changed] Additional Resources: Some ABMS board certified dermatologists have completed a one-year ACGME approved fellowship in Procedural Dermatology, which has been offered since 2003. At this time the ABD does not offer subspecialty certification in Procedural Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194341362 | Gary Mendese, Md, LLC | Dermatology | 23 Centennial Dr, Peabody, MA 01960-7901 | 2020-06-23 |
| 1053811430 | Leigh Melanson-adams | Dermatology | 382 Lowell St, Wakefield, MA 01880-1972 | 2018-02-13 |
| 1578073128 | Karen Carreiro | Dermatology | 775 Davol St Ste 3, Fall River, MA 02720-1028 | 2017-10-10 |
| 1225458185 | Prasanthi Kandula | Dermatology | 1244 Boylston St, Chestnut Hill, MA 02467 | 2014-04-18 |
| 1538500988 | Skin Wellness Physicians, LLC | Dermatology | 85 Herrick St, Beverly Hospital Oncology Center, Beverly, MA 01915-1790 | 2013-07-15 |
| 1689012510 | Dennis Anthony Porto | Dermatology | 1 Maple Street, 2nd Floor, Milford, MA 01757 | 2013-06-13 |
| 1518204353 | Newton Watertown Dermatology Associates | Dermatology | 280 Washington St, Suite #212, Brighton, MA 02135-3511 | 2013-01-14 |
| 1922373018 | Frank R Vleugels | Dermatology | 221 Longwood Ave, Boston, MA 02115-5804 | 2012-03-21 |
| 1174729628 | Dermatology Consultants At Newton-wellesley PC | Dermatology | 2000 Washington St, B120, Newton Lower Falls, MA 02462-1602 | 2007-06-22 |
| 1093919078 | Dermatology and Laser Center of Western Mass Inc | Dermatology | 75 Post Office Park, Suite 7501, Wilbraham, MA 01095-1188 | 2007-06-13 |
| Find all providers with the same taxonomy | ||||
| City | NORTH ANDOVER |
| Zip Code | 01845 |
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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.