Gladhart Family Medicine

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

GLADHART FAMILY MEDICINE

Practice address

820 Ainsworth Dr
Suite a
Prescott, AZ 86301-1613

Phone

(928) 777-9600

Fax

(928) 777-9797

NPI assigned

Sep 1, 2010

Organization subpart

No

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

Authorized official

Name

Gregg R Gladhart, MD

Title

Owner

Phone

(928) 777-9600

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1283299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297036800000",
    "number": "1427365287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 AINSWORTH DR",
            "address_2": "SUITE A",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863011613",
            "telephone_number": "928-777-9600",
            "fax_number": "928-777-9797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 AINSWORTH DR",
            "address_2": "SUITE A",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863011613",
            "telephone_number": "928-777-9600",
            "fax_number": "928-777-9797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLADHART FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-01",
        "last_updated": "2011-02-07",
        "status": "A",
        "authorized_official_last_name": "GLADHART",
        "authorized_official_first_name": "GREGG",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-777-9600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeanne M. Gibian, RN, CPNP
• Carli Ann Gibson, PT
• Sheryl Lynn Gillum
• Nicolas G Giuliano, DO
• Christopher A Glade, LMSW
• Karen Ruth Gladhart
• Judith Kay Glann, ACNP-BC
• Kenneth Glass, D.D.S.
• Jennifer Goddard, M.D.
• Susan Elizabeth Godman, N.M.D.

• Primary Care Clinic/Center in Prescott, AZ
• Providers in Prescott, AZ by specialty
• Primary Care Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2011; 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.