GLADSTONE ANTHONY PAYTON SR. (NPI# 1184617854) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184617854 |
| Entity Type | Individual |
| Full Name | GLADSTONE ANTHONY PAYTON SR. |
| Credential | DO |
| Practice Address |
247 N Gratiot Ave Mount Clemens MI 48043-5746 |
| Practice Telephone | 5864688088 |
| Practice Fax Number | 5864688283 |
| Mailing Telephone | 5864688088 |
| Mailing Fax Number | 5864688283 |
| Enumeration Date | 2005-08-26 |
| Last Update Date | 2010-06-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 5101005762 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BLUE SHIELD | 0855018335 | 01 |
| MI | 1003624 | 05 |
| Street Address |
247 N GRATIOT AVE |
| City | MOUNT CLEMENS |
| State | MI |
| Zip Code | 48043-5746 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699300228 | Blue Diamond Aba Services LLC | Assistant Behavior Analyst | 102 North Avenue, Mt. Clemens, MI 48043 | 2020-03-04 |
| 1265086136 | Venture Counseling | Social Worker | 198 S. Main Street, Suite 2, Mount Clemens, MI 48043 | 2019-07-30 |
| 1386203651 | Michele Lee Casebolt | Physical Therapist | 30795 Twenty Three Mile Rd., Chesterfield, MI 48043 | 2019-06-11 |
| 1730669706 | Wynn A Mitchell | Case Manager/Care Coordinator | 24 Hubbard St, Mount Clemens, MI 48043 | 2018-08-18 |
| 1629520101 | Boitshoko Marang | Family Medicine | Clinton River Drive 11a, Mount Clemens, MI 48043 | 2016-10-31 |
| 1720332265 | New Passages | Point of Service | 175 N. Grorsebeck Hwy, Mt. Clemens, MI 48043 | 2012-11-06 |
| 1376807784 | Christopher John Shamass | Emergency Medicine | 1000 Harrington Boulevard, Mount Clemens, MI 48043 | 2012-06-29 |
| 1265749683 | Mycare Health Center | Clinic/Center | 18 Market Street, Suite C, Mount Clemens, MI 48043 | 2010-09-07 |
| 1114102837 | George Edward Perron | Family Medicine | 256 Wellington Crescent, Mt Clemens, MI 48043 | 2007-12-31 |
| 1558568733 | Dawood Ghassan Dalaly | Surgery | 1000 Harrington, Mt Clemens, MI 48043 | 2007-06-29 |
| Find all providers in zip 48043 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629520101 | Boitshoko Marang | Family Medicine | Clinton River Drive 11a, Mount Clemens, MI 48043 | 2016-10-31 |
| 1831572619 | Cody Becksvoort | Family Medicine | 374 Harrington St, Mount Clemens, MI 48043-2927 | 2015-06-30 |
| 1386865228 | Gladstone A. Payton, D.o.,pc | Family Medicine | 247 Northbound Gratiot Ave, Mount Clemens, MI 48043-5746 | 2007-05-01 |
| 1518575448 | Duncan George Innes | Family Medicine | 1000 Harrington St, Mount Clemens, MI 48043-2920 | 2020-07-16 |
| 1851909790 | John Murray | Family Medicine | 1000 Harrington St, Mount Clemens, MI 48043-2920 | 2020-07-16 |
| 1861988602 | Elizabeth Harris Sargent | Family Medicine | 1000 Harrington St, Mount Clemens, MI 48043-2920 | 2018-07-05 |
| 1992291900 | George Ibrahim Fakhouri | Family Medicine | 1000 Harrington St, Mount Clemens, MI 48043-2920 | 2018-07-03 |
| 1265928113 | Taylor Rae Roach | Family Medicine | 1000 Harrington St, Mount Clemens, MI 48043-2920 | 2018-07-03 |
| 1710419783 | William Palmer | Family Medicine | 1000 Harrington St, Mount Clemens, MI 48043-2920 | 2017-03-29 |
| 1376084996 | Mariah Fiorillo Burnell | Family Medicine | 1000 Harrington St, Mount Clemens, MI 48043-2920 | 2017-03-15 |
| Find all providers in MOUNT CLEMENS | ||||
| City | MOUNT CLEMENS |
| Zip Code | 48043 |
Please comment or provide details below to improve the information on GLADSTONE ANTHONY PAYTON SR..
| 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.