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Deactivated NPI 1306859921 Deactivated / Inactive NPI Male Practitioner

Dr. Lance M Tibbetts , MD

Pathology - Anatomic Pathology • Providence, RI

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Lance Tibbetts has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 14, 2006
NPI Deactivation Date November 29, 2023
Total Practice Duration ~17 Years of Practice (2006 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Lance Tibbetts, MD was a registered Pathology - Anatomic Pathology practicing in Providence, RI. Throughout an active medical career spanning 17 years, Dr. Tibbetts provided care at the practice location at 825 CHALKSTONE AVE until profile deactivation on 2023-11-29.

Practice Location & Contact Primary Location

Practice Address

825 Chalkstone Ave
Roger Williams Medical Center/pathology Dept

Providence, RI 029084728

Telephone 4014562162
Fax 4014562131
Associated Practice Facility / Clinic
🏢 Roger Williams Medical Center Facility NPI 1649278250

Specialty Benchmarks & Practice Insights

Comparative analytics for Pathology - Anatomic Pathology in Providence, RI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 29.9 Yrs
State Avg: 29.9 Yrs
Regional Practice Density
31 Specialists

Practicing in Providence, RI (37 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pathology - Anatomic Pathology Primary Specialty

NUCC Taxonomy Code: 207ZP0101X

State License RI MD06138

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
Dr. N Libbey , MD

Pathology - Anatomic Pathology

NPI 1023021623

Doctor of Medicine (M.D.)

Dr. Jila Khorsand , MD

Pathology - Anatomic Pathology & Clinical Pathology

NPI 1124031802

Doctor of Medicine (M.D.)

Dr. Catherine Breen , MD

Pathology - Dermatopathology

NPI 1205942562

Doctor of Medicine (M.D.)

Dr. Paul Ferbend , DO

Pathology - Anatomic Pathology

NPI 1245332642

Doctor of Osteopathic Medicine (D.O.)

Dr. Robert Lev , MD

Pathology - Anatomic Pathology & Clinical Pathology

NPI 1619980299

Doctor of Medicine (M.D.)

Dr. Richard Dauphinais , MD

Pathology - Anatomic Pathology & Clinical Pathology

NPI 1730192493

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated November 29, 2023

Record deactivated on November 29, 2023

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 825 CHALKSTONE AVE, ROGER WILLIAMS MEDICAL CENTER/PATHOLOGY DEPT, PROVIDENCE, RI 029084728 (Tel: 4014562162)

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Updated Business Mailing Address July 08, 2007

Registered at 825 CHALKSTONE AVE, ROGER WILLIAMS MEDICAL CENTER/PATHOLOGY DEPT, PROVIDENCE, RI 029084728 (Tel: 4014562162)

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Provider Name / Credentials Updated July 08, 2007

Recorded as LANCE TIBBETTS, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Pathology (License #MD06138 in RI)

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Initial NPI Registration & Enumeration August 14, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1306859921
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 14, 2006
Last Update: July 08, 2007
Deactivation Date: November 29, 2023

Mailing Address

825 Chalkstone Ave, Roger Williams Medical Center/pathology Dept

Providence, RI 029084728

Phone: 4014562162

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.