Neil Gladstone (NPI# 1073697801, PAC ID# 1557558913) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1073697801 |
| PAC ID by PECOS | 1557558913 |
| Professional Enrollment ID | I20101210000342 |
| Full Name | Neil Gladstone |
| Organization Legal Name | MY OBGYN PC |
| Address |
81 Upper Riverdale Rd Sw Suite 210 Riverdale GA 30274-2627 |
| Phone Number | 7709961200 |
| Gender | M |
| Medical School | UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE |
| Graduation Year | 1969 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 9335120997 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110165 | SOUTHERN REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 81 Upper Riverdale Rd Sw, Suite 210, Riverdale, GA 30274-2627 | 7709961200 | MY OBGYN PC |
| Organization Legal Name | MY OBGYN PC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Clifton G Youngblood | Obstetrics/gynecology | My Obgyn PC | 81 Upper Riverdale Rd Sw, Suite 210, Riverdale, GA 30274-2627 |
| Letitia D Royster | Obstetrics/gynecology | My Obgyn PC | 81 Upper Riverdale Rd Sw, Suite 210, Riverdale, GA 30274-2627 |
| Street Address |
81 UPPER RIVERDALE RD SW SUITE 210 |
| City | RIVERDALE |
| State | GA |
| Zip | 30274-2627 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Clifton G Youngblood | Obstetrics/gynecology | My Obgyn PC | 81 Upper Riverdale Rd Sw, Suite 210, Riverdale, GA 30274-2627 |
| Letitia D Royster | Obstetrics/gynecology | My Obgyn PC | 81 Upper Riverdale Rd Sw, Suite 210, Riverdale, GA 30274-2627 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert E Waikel | Chiropractic | 7075 Church St, Riverdale, GA 30274-2306 | |
| Gokarnesan Natarajan | Orthopedic Surgery | 528 Valley Hill Rd Sw, Riverdale, GA 30274-2441 | |
| Deepu Daniel | Nephrology | Caritas Medical Center | 195 Upper Riverdale Swrd A, Riverdale, GA 30274-2518 |
| Felix Pelaez | General Surgery | 195 Upper Riverdale Rd Sw, Riverdale, GA 30274-2518 | |
| Jun-ki Park | Nephrology | Caritas Medical Center | 195 Upper Riverdale Swrd A, Riverdale, GA 30274-2518 |
| Feroze A Yusufji | Orthopedic Surgery | 6525 Professional Pl A, Riverdale, GA 30274-2519 | |
| Mark Guerdan | Anesthesiology | 6525 Professional Pl B, Riverdale, GA 30274-2519 | |
| Terry L Dickerson | Podiatry | 6567 Professional Pl, Riverdale, GA 30274-2519 | |
| Xuandao L Nguyen | Optometry | Nassar Enterprises,llc | 6524 Professional Pl, Riverdale, GA 30274-2520 |
| Ahmed M Nassar | Ophthalmology | Nassar Enterprises,llc | 6524 Professional Pl, Riverdale, GA 30274-2520 |
| Find all physicians in zip 30274 | |||
| City | RIVERDALE |
| Zip Code | 30274 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | RIVERDALE + OBSTETRICS/GYNECOLOGY |
Please comment or provide details below to improve the information on Neil Gladstone.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.