KATHRYN ANN GIBLIN (NPI# 1972828234) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972828234 |
| Entity Type | Individual |
| Full Name | KATHRYN ANN GIBLIN |
| Credential | M.D. |
| Practice Address |
85 1st Ave Waltham MA 02451-1105 |
| Practice Telephone | 7816477246 |
| Mailing Telephone | 7816477246 |
| Enumeration Date | 2010-03-30 |
| Last Update Date | 2016-04-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
MD18374 | HI | Allopathic & Osteopathic Physicians |
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
258813 | MA | Allopathic & Osteopathic Physicians |
| N | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
258813 | MA | Allopathic & Osteopathic Physicians |
| Street Address |
85 1ST AVE |
| City | WALTHAM |
| State | MA |
| Zip Code | 02451-1105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962465070 | James Christopher O'brien | Internal Medicine | 85 1st Ave, Waltham, MA 02451-1105 | 2006-04-10 |
| 1598288987 | Hannah Potler | Registered Nurse | 85 1st Ave, Waltham, MA 02451-1105 | 2017-07-18 |
| 1255867487 | Boston Paincare Center | Clinical Medical Laboratory | 85 1st Ave, Waltham, MA 02451-1105 | 2017-05-09 |
| 1124552708 | Jordan Paul Backstrom | Psychologist | 85 1st Ave, Waltham, MA 02451-1105 | 2017-04-20 |
| 1255709556 | Valerie Florence Weed | Psychologist | 85 1st Ave, Waltham, MA 02451-1105 | 2015-09-03 |
| 1114338308 | Marina Treglia | Registered Nurse | 85 1st Ave, Waltham, MA 02451-1105 | 2014-05-11 |
| 1558791475 | Boston Paincare Center | Pain Medicine | 85 1st Ave, Waltham, MA 02451-1105 | 2013-11-13 |
| 1780020990 | Kelly Michelle Wawrzyniak | Psychologist | 85 1st Ave, Waltham, MA 02451-1105 | 2013-05-14 |
| 1578806170 | Nicholas Reese Barnes | Psychiatry & Neurology | 85 1st Ave, Waltham, MA 02451-1105 | 2013-04-02 |
| 1821341264 | Katherine Nycz | Registered Nurse | 85 1st Ave, Waltham, MA 02451-1105 | 2012-10-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538719190 | Haeun Yang | Behavior Technician | 303 Wyman Street Suite 354, 344, 345, Waltham, MA 02451 | 2019-09-16 |
| 1982252599 | Sinclair Fashaw-braxton | Behavior Technician | 303 Wyman Street, Suite 354, 344, 345, Waltham, MA 02451 | 2019-08-27 |
| 1245715879 | Annie F Friedman | Social Worker | Extended Stay America, 32 4the Avenue, Waltham, MA 02451 | 2018-09-28 |
| 1760964118 | Elizabeth Boardman Harris | Social Worker | 60 Hickory Drive 4th Floor, Waltham, MA 02451 | 2018-09-02 |
| 1760960959 | Patriot Urgent Care Professionals, PC | General Practice | 1030 Main Street, Unit 2, Waltham, MA 02451 | 2018-07-31 |
| 1962998013 | Leighann Teresa Healy | Behavior Technician | 303 Wyman Suite 300, Waltham, MA 02451 | 2018-07-02 |
| 1194234492 | Bruna Rossi Hoffman | Dentist | 12 Grant Place, Apt 1, Waltham, MA 02451 | 2017-09-29 |
| 1265959159 | Matthew C Page-shelton | Counselor | 2208 Stearns Hill Road, Waltham, MA 02451 | 2017-08-23 |
| 1306380837 | Sherri Lynn Duquette | Behavior Technician | 1430 Main Street, Waltham, MA 02451 | 2016-12-19 |
| 1649628728 | Keren Matveev | Family Medicine | 75 Third Avenue, First Floor, Waltham, MA 02451 | 2016-05-30 |
| Find all providers in zip 02451 | ||||
| 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 |
|---|---|---|---|---|
| 1164657383 | Shreyansh Shah | Psychiatry & Neurology | Wac-7-721-j, 15 Parkman Street, Massachusetts Genral Hospital, Waltham, MA 02453 | 2009-05-18 |
| 1407070964 | Brian J Freeman | Psychiatry & Neurology | 890 Winter St, Ste.320, Waltham, MA 02451-1470 | 2007-04-13 |
| 1629166558 | Karla B Kanis | Psychiatry & Neurology | Parexel, 200 West Street, Waltham, MA 02451 | 2006-10-10 |
| 1568423580 | Zahid Hussain Bajwa | Psychiatry & Neurology | 85 First Ave, Boston Paincare Center, Waltham, MA 02451 | 2006-03-29 |
| 1053387316 | Gigi Girgis | Psychiatry & Neurology | 20 Hope Ave, Suite 203, Waltham, MA 02453-2721 | 2006-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609344555 | Rosalind Mandelbaum | Psychiatry & Neurology | 45 Resnik Rd Ste 205, Plymouth, MA 02360-7223 | 2018-11-08 |
| 1336626324 | Mary Jane Lim Fat | Psychiatry & Neurology | 450 Brookline Ave Dept Dana2, Boston, MA 02215-5418 | 2018-07-23 |
| 1336668326 | Western Mass Neurology PC | Psychiatry & Neurology | 175 Carew St Ste 140, Springfield, MA 01104-2389 | 2017-09-12 |
| 1417475336 | Hampshire Neurology LLC | Psychiatry & Neurology | 234 Russell St Ste 206, Hadley, MA 01035-3534 | 2017-08-30 |
| 1487170312 | Emg Laboratory, LLC | Psychiatry & Neurology | 51 Main St Ste 6, Hyannis, MA 02601 | 2017-08-22 |
| 1821538497 | Santiago Arroyo | Psychiatry & Neurology | 28 Constitution Rd, Charlestown, MA 02129-2008 | 2017-03-02 |
| 1801256094 | Lincoln S Darla X | Psychiatry & Neurology | 260 Tremont Street 2nd Floor, Tufts Medical Center, Biewend Building, Boston, MA 02111 | 2016-03-01 |
| 1871975144 | Yadira Flores Montanez | Psychiatry & Neurology | 1 Brookline Pl Ste 406, Brookline, MA 02445-7296 | 2015-06-23 |
| 1104207901 | Aditi Ahlawat | Psychiatry & Neurology | 1280 W Central St Ste 102, Franklin, MA 02038-3110 | 2015-06-17 |
| 1558755835 | Grigoriy I Labun | Psychiatry & Neurology | 23 Peach Tree Ln, Newton, MA 02459-3123 | 2015-03-24 |
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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.