DR. ROBERT WILLIAM GASTON (NPI# 1518961499) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518961499 |
| Entity Type | Individual |
| Full Name | DR. ROBERT WILLIAM GASTON |
| Credential | D.C. |
| Practice Address |
625 2nd St Traverse City MI 49684-2220 |
| Practice Telephone | 2319225060 |
| Practice Fax Number | 2319225062 |
| Mailing Telephone | 2319225060 |
| Mailing Fax Number | 2319225062 |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2011-07-25 |
| NPI Deactivation Date | 03/15/2006 |
| NPI Reactivation Date | 2006-03-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 2301006073 | MI | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 3085520 | 05 | |
| MI | BLUE CARE NETWORK | P87962 | 01 |
| MI | BCBS OF MI | 0B85444 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508245259 | Robert Gaston | Licensed Practical Nurse | 665 Powers Ave Nw, Grand Rapids, MI 49504-5058 | 2015-05-28 |
| 1497190276 | Robert Gaston Jr. | Acupuncturist | 217 Ne 97th St, Miami Shores, FL 33138-2403 | 2013-05-07 |
| 1245744069 | Robert Adam Gaston | Nurse Anesthetist, Certified Registered | 415 S 28th Ave, Hattiesburg, MS 39401-7246 | 2017-12-01 |
| 1427504620 | Robert Gaston Jr. | Case Manager/Care Coordinator | 3921 Independence Dr Ste 104, Alexandria, LA 71303 | 2016-08-28 |
| 1639190440 | Robert L Gaston | Nurse Anesthetist, Certified Registered | 415 S 28th Ave, Hattiesburg, MS 39401-7246 | 2006-07-21 |
| 1154365237 | Robert S Gaston | Internal Medicine | 619 19th Street South, Birmingham, AL 35233 | 2006-06-16 |
| 1619946068 | Robert C Gaston | Radiology | 2525 Nw Expressway, Suite 404, Oklahoma City, OK 73112-7230 | 2006-03-17 |
| 1003897380 | Robert Bernard Gaston Jr. | Family Medicine | 3939 Central Pike, Hermitage, TN 37076 | 2005-11-14 |
| Street Address |
625 2ND ST |
| City | TRAVERSE CITY |
| State | MI |
| Zip Code | 49684-2220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144623406 | Peter J Jenema | Chiropractor | 625 2nd St, Traverse City, MI 49684-2220 | 2014-10-01 |
| 1912028200 | Gaston Family Chiropractic LLC | Chiropractor | 625 2nd St, Traverse City, MI 49684-2220 | 2007-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124641758 | Karen Anne Paulosky | Registered Nurse | 226 S Madison St, Traverse City, MI 49684 | 2020-05-18 |
| 1891314795 | Jaclyn Elizabeth Sylvain | Student in an Organized Health Care Education/Training Program | Munson Family Practice Center, 1400 Medical Campus Drive, Traverse City, MI 49684 | 2020-04-10 |
| 1285282988 | Madelyn Drumm | Dietitian, Registered | 217 S. Madison St., Suite 3022, Traverse City, MI 49684 | 2019-08-27 |
| 1265917686 | Kacie Danielle Heading | Social Worker | 12719 S. West Bay Shore Drive, Suite 9, Traverse City, MI 49684 | 2018-10-02 |
| 1881178325 | Jacob White Ph.d., Pllc | Psychologist | 3537 W. Front Street, Suite F, Traverse City, MI 49684 | 2018-09-20 |
| 1144702572 | Constance Baab, Phd, Lmsw, Pllc | Social Worker | 3301 Veterans Drive Suite 127, Traverse City, MI 49684 | 2018-09-01 |
| 1346732880 | The Skin Cancer and Dermatology Center Plc | Dermatology | 1225 W Front St Ste 2, Traverse City, MI 49684 | 2018-05-31 |
| 1790283851 | Lisa Louise Kleyps | Massage Therapist | 3337 W. South Airport Road #2, Traverse City, MI 49684 | 2018-01-24 |
| 1114447646 | Brittany Alexandra Prior | Physical Therapist | 3899 W Front Sreet, Unit 3, Traverse City, MI 49684 | 2017-06-26 |
| 1568902963 | Jennifer Scott | Behavior Technician | 515 W 14th St Unit D, Traverse City, MI 49684 | 2017-03-03 |
| Find all providers in zip 49684 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083100457 | Third Coast Chiropractic LLC | Chiropractor | 1201 E Front St, Traverse City, MI 49686-2928 | 2018-07-09 |
| 1144724550 | Kyle William Konas | Chiropractor | 3055 Cass Rd, Ste 102b, Traverse City, MI 49684-7940 | 2018-03-20 |
| 1770087199 | Shift Chiropractic, Plc | Chiropractor | 3055 Cass Rd Ste 102b, Traverse City, MI 49684-7940 | 2018-03-20 |
| 1700330768 | Daniel P Jarboe | Chiropractor | 263 W Grandview Pkwy, Traverse City, MI 49684 | 2016-08-08 |
| 1104287622 | Pathways Chiropractic Pllc | Chiropractor | 1001 Bay St, Suite C, Traverse City, MI 49684-1449 | 2016-03-10 |
| 1295114973 | Grand Traverse Family Chiropractic Pllc | Chiropractor | 4110 Copper Ridge Dr Ste 210, Traverse City, MI 49684-6721 | 2015-05-27 |
| 1750784765 | Donald Jay Funk | Chiropractor | 418 S Union St, Traverse City, MI 49684-5756 | 2014-10-03 |
| 1215369335 | Mark H Hoffmann Chiropractic Pllc | Chiropractor | 115 E 14th St., Traverse City, MI 49684 | 2013-07-31 |
| 1134462195 | Tc Chiropractic PC | Chiropractor | 1000 3 Mile Road, Traverse City, MI 49696 | 2013-03-28 |
| 1912247743 | Jivanta Chiropractic Wellness Centre Pllc | Chiropractor | 1235 Woodmere Ave, Traverse City, MI 49686-4249 | 2013-02-14 |
| Find all providers in TRAVERSE CITY | ||||
| City | TRAVERSE CITY |
| Zip Code | 49684 |
Please comment or provide details below to improve the information on DR. ROBERT WILLIAM GASTON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.