Gadson Clinic

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

GADSON CLINIC

Practice address

1622 Broadway St
Quincy, IL 62301-2817

Phone

(217) 223-7911

Fax

(217) 223-7941

NPI assigned

Nov 2, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Michael Thomas Gadson, MD

Title

Owner

Phone

(217) 223-7911

Specialties & licenses 1

Addresses

Other identifiers 5

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Reghnald Ann Westhoff, MSN, RN APN

  • Psychiatric/Mental Health Nurse Practitioner
  • Quincy, IL
  • NPI 1023153863
  NPD (past)
• Carolyn Kay Greening, CNS

  • Adult Psychiatric/Mental Health Clinical Nurse Specialist
  • Hannibal, MO
  • NPI 1508885187
  NPD (past)

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528059250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1622 BROADWAY ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623012817",
            "telephone_number": "217-223-7911",
            "fax_number": "217-223-7941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1622 BROADWAY ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623012817",
            "telephone_number": "217-223-7911",
            "fax_number": "217-223-7941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GADSON CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GADSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "217-223-7911",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF MISSOURI",
            "identifier": "16189",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ALLIANCE",
            "identifier": "018853",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QHCM",
            "identifier": "076559",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "120152",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HELATHLINK",
            "identifier": "138989",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Frank Richard Froman, ED.D.
• Carol B Frost, RPH
• Hazel Fuertes-Diel, OTR/L
• Kyle Allen Funfsinn, HAD
• Eric K Fynn-Thompson, M.D.
• Ashley L Gallaher, LPC
• Sumul Ashok Gandhi, MD
• Mason M Garbs, OD
• Angel Garriga, LPN
• Joahnes Punay Gatdula

• Specialist in Quincy, IL
• Providers in Quincy, IL by specialty
• Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.