DR. IRVIN J. GASTMAN (NPI# 1942263843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942263843 |
| Entity Type | Individual |
| Full Name | DR. IRVIN J. GASTMAN |
| Credential | DO, PHD |
| Practice Address |
25241 Grand River Ave Redford MI 48240-1404 |
| Practice Telephone | 3135383800 |
| Practice Fax Number | 3135383088 |
| Mailing Telephone | 3135383800 |
| Mailing Fax Number | 3135383800 |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2018-12-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | IG007321 | MI | Allopathic & Osteopathic Physicians |
| Y | 2083P0901X |
Preventive Medicine Specialization: Public Health & General Preventive Medicine |
5101007321 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1293005 | 05 |
| Street Address |
25241 GRAND RIVER AVE |
| City | REDFORD |
| State | MI |
| Zip Code | 48240-1404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548244742 | Richard I Kushner | Family Medicine | 25241 Grand River Ave, Redford, MI 48240-1404 | 2005-12-01 |
| 1811540230 | Local Pharmacy, Inc | Pharmacy | 25241 Grand River Ave, Redford, MI 48240 | 2019-07-24 |
| 1386182533 | Family Drug Pharmacy V Inc | Pharmacy | 25241 Grand River Ave, Redford, MI 48240-1404 | 2017-02-08 |
| 1093971251 | Advanced Diagnostics Laboratory, Pllc | Clinical Medical Laboratory | 25241 Grand River Ave, Redford, MI 48240-1404 | 2008-08-06 |
| 1285707281 | Oakland Medical Group PC | Family Medicine | 25241 Grand River Ave, Redford, MI 48240-1404 | 2006-11-16 |
| 1326135518 | Family Drug Pharmacy V Inc | Pharmacy | 25241 Grand River Ave, Redford, MI 48240-1404 | 2006-10-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134775240 | Peak Function Physical Therapy and Sports Performance | Physical Therapist | 16285 Pomona Drive, Redford, MI 48240 | 2019-08-14 |
| 1861050361 | Hala's Pharmacy | Pharmacy | 25735 Eight Mile Rd, Redford, MI 48240 | 2019-05-31 |
| 1215382312 | Infinity & Beyond L. C. | In Home Supportive Care | 19182 Wakenden, Redford, MI 48240 | 2016-04-27 |
| 1578828224 | Bryan Robert Anderson | Internal Medicine | 18503 Gaylord Rd., Redford, MI 48240 | 2012-07-09 |
| 1558633818 | Lidija Filipovska-smith | Dentist | 25106 West Six Mile Rd., Redford, MI 48240 | 2012-02-02 |
| 1790080968 | Love Covers All | Point of Service | 20449 Dalby, Redford, MI 48240 | 2011-01-20 |
| 1104049261 | Linda M. Thornton | Counselor | 26520 Grand River Ave. Suite 107, Redford, MI 48240 | 2007-04-10 |
| 1689739690 | Sunrise Family Dental Care | Dentist | 25900 West Six Mile, Redford, MI 48240 | 2006-12-27 |
| 1619044237 | Dental Inc | Dentist | 25225 W 7 Mile Rd, Suite 200, Redford, MI 48240 | 2006-11-29 |
| 1184138299 | Master Pharmacy LLC | Pharmacy | 25735 W 8 Mile Rd, Redford, MI 48240-1008 | 2017-11-28 |
| Find all providers in zip 48240 | ||||
| Taxonomy Code | 2083P0901X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Public Health & General Preventive Medicine |
| Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. American Osteopathic Board of Preventive Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851903116 | Vrc Rehabilitation, LLC | Preventive Medicine | 23525 M 32 W, Hillman, MI 49746-9713 | 2020-08-18 |
| 1174081277 | Institute for Population Health Inc. | Preventive Medicine | 15491 Maddelein St, Detroit, MI 48205-2596 | 2019-03-07 |
| 1730697756 | Amy Schultz | Preventive Medicine | 1715 Lansing Ave Ste 221, Jackson, MI 49202-2193 | 2018-01-11 |
| 1295140507 | Metro Family Clinics | Preventive Medicine | 2075 Fort St Ste 101, Lincoln Park, MI 48146-2191 | 2014-06-25 |
| 1659786275 | Eni Smith | Preventive Medicine | 25235 Orchard Lake Rd, Farmington Hills, MI 48336-1233 | 2014-06-23 |
| 1598005159 | Edwin Roland Larkin | Preventive Medicine | 2203 Rockdale Ave, Lansing, MI 48917-1376 | 2013-02-19 |
| 1982969168 | Joseph A. Arends M.d. P.C. | Preventive Medicine | 6448 Parkview Dr, Troy, MI 48098-2244 | 2012-07-12 |
| 1124394663 | Eden Victoria Wells | Preventive Medicine | 333 S Grand Ave, 4th Floor Mdhhs, Lansing, MI 48933-2108 | 2012-03-29 |
| 1992072748 | William J Mayer | Preventive Medicine | 301 John St, Kalamazoo, MI 49007-5295 | 2011-11-22 |
| 1033429394 | City of Detroit | Preventive Medicine | 3245 E. Jefferson, Suite # 100, Detroit, MI 48207-4222 | 2010-10-20 |
| Find all providers with the same taxonomy | ||||
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| 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.