Provider Demographics
NPI:1093736340
Name:COLLINS-GIBBARD, ROSLINDE MARY (MD)
Entity Type:Individual
Prefix:DR
First Name:ROSLINDE
Middle Name:MARY
Last Name:COLLINS-GIBBARD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ROSLINDE
Other - Middle Name:MARY
Other - Last Name:COLLINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:ONE MEDICAL CENTER DR
Mailing Address - Street 2:DARTMOUTH HITCHCOCK - CRITICAL CARE MEDICINE
Mailing Address - City:LEBANON
Mailing Address - State:NH
Mailing Address - Zip Code:03756
Mailing Address - Country:US
Mailing Address - Phone:603-650-5120
Mailing Address - Fax:
Practice Address - Street 1:ONE MEDICAL CENTER DR
Practice Address - Street 2:DARTMOUTH HITCHCOCK - CRITICAL CARE MEDICINE
Practice Address - City:LEBANON
Practice Address - State:NH
Practice Address - Zip Code:03756
Practice Address - Country:US
Practice Address - Phone:603-650-5120
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-22
Last Update Date:2019-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH17362207R00000X, 207RS0012X, 207RC0200X
ME015629207R00000X
VT042-0011270207RC0200X, 207RP1001X, 207RS0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT1013328Medicaid
NH3102915Medicaid
NH3102915Medicaid
VT1013328Medicaid
NH3102915Medicaid
MEG46808Medicare UPIN