Gayle F. Adams, PA-C
Individual provider Active NPI Physician Assistant · Livonia, MI
NPI 1366481541 · NPPES record last updated Dec 19, 2013
Key facts
- NPI
- 1366481541
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 5601002114 (MI)
- Practice address
- 19900 Haggerty Rd
Livonia, MI 48152-1054 - Phone
- (734) 432-7811
- Fax
- (734) 432-7637
- NPI assigned
- Jun 5, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5601002114 | MI | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the Univ of Michigan- Ambulatory Ctr for Vein Treatment | Past | Accepting new patients | |
| Regents of the University of Michigan - Ambulatory Ctr for Vein Trtmt | Physician Assistant | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5601002114 | MI | Yes |
| Surgical Physician Assistant | 363AS0400X | 5601002114 | MI |
Addresses
Primary practice location
19900 Haggerty Rd
Livonia, MI 48152-1054
Mailing address
3621 South State Street
700 KMS Place
Ann Arbor, MI 48108
Phone (734) 936-2047
Other names
- Mrs. Gayle Adams
Other providers in Livonia, MI
- Denise Acton
- Acute Physical Therapy & Pain Management, PC
- Bianca Marie Adair
- Adam Livonia Inc
- Aimee Gayle Adams
- Justin Adams
- Kaitlyn Adams
- Sylvia D Adams
- Adelbert Evangelista PC
- Oluwabunmi Nancy Adeyemi
All providers in Livonia, MI · Physician Assistant in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 19, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.