Samuel Gladstone, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

55035 Issued in MA

Legal business name

SAMUEL GLADSTONE, MD

Practice address

12 Dickinson St
Amherst, MA 01002-2310

Phone

(413) 253-2300

Fax

(413) 256-0464

NPI assigned

Jul 1, 2008

Organization subpart

No

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

Authorized official

Name

Samuel Gladstone, MDNPI 1134188220

Title

Physician Owner

Phone

(413) 253-2300

Specialties & licenses 1

Addresses

Other identifiers 11

Practitioners 2

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

• Samuel Gladstone, MD

  • Family Medicine Physician
  • Amherst, MA
  • NPI 1134188220
  NPD (past) Authorized official
• Ruth G Rinard, FNP

  • Nurse Practitioner
  • Springfield, MA
  • NPI 1073629440
  NPD (past)

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

{
    "created_epoch": "1214870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214870400000",
    "number": "1659533552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 DICKINSON ST",
            "city": "AMHERST",
            "state": "MA",
            "postal_code": "010022310",
            "telephone_number": "413-253-2300",
            "fax_number": "413-256-0464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 DICKINSON ST",
            "city": "AMHERST",
            "state": "MA",
            "postal_code": "010022310",
            "telephone_number": "413-253-2300",
            "fax_number": "413-256-0464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMUEL GLADSTONE, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-01",
        "last_updated": "2008-07-01",
        "status": "A",
        "authorized_official_last_name": "GLADSTONE",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "413-253-2300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "55035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "10248501",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NEW ENGLAND",
            "identifier": "12640",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2358324",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE",
            "identifier": "706042",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "720950",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "71777",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "J06871",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MULTIPLAN",
            "identifier": "222909447",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FALLON",
            "identifier": "1293872",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BMC",
            "identifier": "000000007610",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3029671",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jane Elizabeth Sackett, M.S. CCC-SLP
• Bridget Sadeghian, L.AC
• Ginger Sajiera
• Kimberly Sakaske
• Seny Yin Salvon, RPH
• Mariano Santiago
• Nashalia Santiago
• Yarima Sol Santiago, MD
• Nicole Santos
• Vearle A Sayer, RN CS

• Family Medicine Physician in Amherst, MA
• Providers in Amherst, MA by specialty
• Family Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.