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HARRIS GIBSON M.D. NPI 1548267404


NPI Information

NPI: 1548267404
Provider Name: HARRIS GIBSON, M.D.
Classification: Thoracic Surgery (Cardiothoracic Vascular Surgery) - 208G00000X
Entity Type: Individual
Address:
101 GEORGE P HASSETT DR
MEDFORD, MA
ZIP 02155
Phone: (781) 391-0050
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Harris Gibson, M.D. is a thoracic surgery cardiothoracic vascular surgery in Medford, MA. The provider is a thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. Harris Gibson, M.D. NPI is 1548267404. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

101 GEORGE P HASSETT DR
MEDFORD, MA
ZIP 02155-201
Phone: (781) 391-0050
Fax: (781) 391-1767

The enumeration date for this NPI number is 7/6/2005 and was last updated on 10/4/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)29474MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10131571MEDICAIDMASSACHUSETTS
2M07254MEDICARE ID-TYPE UNSPECIFIEDMASSACHUSETTS
3B76628MEDICARE UPIN
4M0725402MEDICARE PINMASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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