NEIL S. GLADSTONE MD – NPI #1073697801
Obstetrics & Gynecology

A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.

NEIL GLADSTONE is a physician located in RIVERDALE, GA. NPPES has assigned the NPI number 1073697801 to NEIL GLADSTONE on October 25, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207VG0400X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology, specializing in Gynecology

The NPI profile was previously updated about 13 years ago on Sep 05, 2013. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for NEIL GLADSTONE below.

NPI Profile for
NEIL S. GLADSTONE

NPI Number
1073697801
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
NEIL S. GLADSTONE
Credentials
MD
Primary location
81 UPPER RIVERDALE RD
SUITE 210
RIVERDALE, GA 30274-2627
Phone: (770) 996-1200 Fax: (770) 907-7492
Mailing address
PO BOX 962380
RIVERDALE, GA 30296-6921
Phone: (770) 996-1200 Fax: (770) 907-7492
Sole Proprietor
Yes
Updated
Identifiers

Identifiers for NEIL GLADSTONE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDGA00113759B
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207VG0400X
- Obstetrics & Gynecology / Gynecology (Primary)
GA 016917

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.