Gladstone A Payton


Address: 247 Northbound Gratiot Ave, Mount Clemens, MI 48043-5746

Gladstone A Payton (NPI# 1184617854, PAC ID# 4981518768) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1184617854
PAC ID by PECOS 4981518768
Professional Enrollment ID I20080110000147
Full Name Gladstone A Payton
Address 247 Northbound Gratiot Ave
Mount Clemens
MI 48043-5746
Gender M
Graduation Year 1967
Primary Specialty FAMILY MEDICINE
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
230227 MCLAREN MACOMB

Other Locations

Address Phone Organization
247 Northbound Gratiot Ave, Mount Clemens, MI 48043-5746

Organization Information

Office Location

Street Address 247 NORTHBOUND GRATIOT AVE
City MOUNT CLEMENS
State MI
Zip 48043-5746

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Competitor

Search similar physicians

City MOUNT CLEMENS
Zip Code 48043
Specialty FAMILY MEDICINE
City + Specialty MOUNT CLEMENS + FAMILY MEDICINE

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Dataset Information

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.

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