Gladstone a. Payton, D.O.,PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

5101005762 Issued in MI

Legal business name

GLADSTONE A. PAYTON, D.O.,PC

Practice address

247 Northbound Gratiot Ave
Mount Clemens, MI 48043-5746

Phone

(586) 468-8088

NPI assigned

May 1, 2007

Last updated

Feb 8, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Gladstone A. Payton, D.O.

Title

President

Phone

(586) 468-8088

Specialties & licenses 1

Addresses

Other identifiers 2

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202428800000",
    "number": "1386865228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "247 NORTHBOUND GRATIOT AVE",
            "city": "MOUNT CLEMENS",
            "state": "MI",
            "postal_code": "480435746",
            "telephone_number": "586-468-8088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "247 NORTHBOUND GRATIOT AVE",
            "city": "MOUNT CLEMENS",
            "state": "MI",
            "postal_code": "480435746",
            "telephone_number": "586-468-8088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLADSTONE A. PAYTON, D.O.,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2008-02-08",
        "status": "A",
        "authorized_official_last_name": "PAYTON",
        "authorized_official_first_name": "GLADSTONE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-468-8088",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101005762",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1003624",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0855018335",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Belinda Golder, LLPC
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• Family Medicine Physician in Mount Clemens, MI
• Providers in Mount Clemens, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.