Anna M Gladstone (NPI# 1215295225, PAC ID# 5395055354) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1215295225 |
| PAC ID by PECOS | 5395055354 |
| Professional Enrollment ID | I20151104001247 |
| Full Name | Anna M Gladstone |
| Organization Legal Name | COVENANT COMMUNITY CARE, INC. |
| Address |
1700 Waterman St Detroit MI 48209-2022 |
| Phone Number | 31384116992 |
| Gender | F |
| Medical School | MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2012 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 1254393549 |
| Number of Group Practice Members | 24 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230165 | ST JOHN HOSPITAL AND MEDICAL CENTER |
| 230089 | WILLIAM BEAUMONT HOSPITAL-GROSSE POINTE |
| Address | Phone | Organization |
|---|---|---|
| 1700 Waterman St, Detroit, MI 48209-2022 | 31384116992 | COVENANT COMMUNITY CARE, INC. |
| 20901 Moross Rd, Detroit, MI 48236-2058 | 3136262600 | COVENANT COMMUNITY CARE, INC. |
| Organization Legal Name | COVENANT COMMUNITY CARE, INC. |
| Physicians | 26 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katherine Byl | Physician Assistant | Covenant Community Care, Inc. | 1700 Waterman St, Detroit, MI 48209-2022 |
| Megan Justine Fincher | Nurse Practitioner | Covenant Community Care, Inc. | 20901 Moross Rd, Detroit, MI 48236-2058 |
| Sarah Fay Cornwell | Physician Assistant | Covenant Community Care, Inc. | 27776 Woodward Ave, Royal Oak, MI 48067-0930 |
| Laura Pfeiffer | Nurse Practitioner | Covenant Community Care, Inc. | 5716 Michigan Ave, Detroit, MI 48210-3039 |
| Susan G Smith | Nurse Practitioner | Covenant Community Care, Inc. | 18917 Joy Rd, Detroit, MI 48228-3050 |
| Marisa Rose Abbo | Family Medicine | Covenant Community Care, Inc. | 27776 Woodward Ave, Royal Oak, MI 48067-0930 |
| Kai K Palm | Family Medicine | Covenant Community Care, Inc. | 1700 Waterman St, Detroit, MI 48209-2022 |
| Lisa J Mcintosh | Obstetrics/gynecology | Covenant Community Care, Inc. | 1700 Waterman St, Detroit, MI 48209-2022 |
| Sherwood D Pope | Family Medicine | Covenant Community Care, Inc. | 1700 Waterman St, Detroit, MI 48209-2022 |
| Matthew L Ott | Internal Medicine | Covenant Community Care, Inc. | 1700 Waterman St, Detroit, MI 48209-2022 |
| Street Address |
1700 WATERMAN ST |
| City | DETROIT |
| State | MI |
| Zip | 48209-2022 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katherine Byl | Physician Assistant | Covenant Community Care, Inc. | 1700 Waterman St, Detroit, MI 48209-2022 |
| Kai K Palm | Family Medicine | Covenant Community Care, Inc. | 1700 Waterman St, Detroit, MI 48209-2022 |
| Lisa J Mcintosh | Obstetrics/gynecology | Covenant Community Care, Inc. | 1700 Waterman St, Detroit, MI 48209-2022 |
| Michael E Davisson | Clinical Social Worker | Southwest Counseling Solutions Inc | 1700 Waterman St, Detroit, MI 48209-2022 |
| Sherwood D Pope | Family Medicine | Covenant Community Care, Inc. | 1700 Waterman St, Detroit, MI 48209-2022 |
| Matthew L Ott | Internal Medicine | Covenant Community Care, Inc. | 1700 Waterman St, Detroit, MI 48209-2022 |
| Huri A Kushner | Clinical Social Worker | Southwest Counseling Solutions Inc | 1700 Waterman St, Detroit, MI 48209-2022 |
| Jennifer K Cavanagh | Clinical Social Worker | Southwest Counseling Solutions Inc | 1700 Waterman St, Detroit, MI 48209-2022 |
| Scott Paul Stryd | Family Medicine | Covenant Community Care, Inc. | 1700 Waterman St, Detroit, MI 48209-2022 |
| Randi H Bushman | Clinical Social Worker | Southwest Counseling Solutions Inc | 1700 Waterman St, Detroit, MI 48209-2022 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher M Fallu | Podiatry | 6795 W Vernor Hwy, Detroit, MI 48209-1551 | |
| Rachel A Sionkowski | Clinical Social Worker | Southwest Counseling Solutions Inc | 1700 Waterman St, Detroit, MI 48209-2022 |
| Patricia L Compos | Psychologist, Clinical | Southwest Counseling Solutions Inc | 1700 Waterman St, Detroit, MI 48209-2022 |
| R. Chase Stanley Thebault | Family Medicine | Covenant Community Care, Inc. | 1700 Waterman St, Detroit, MI 48209-2022 |
| Priscilla C Cortez | Clinical Social Worker | Southwest Counseling Solutions Inc | 1700 Waterman St, Detroit, MI 48209-2022 |
| Nadimpalli V Raju | Psychiatry | Southwest Counseling Solutions Inc | 1700 Waterman St, Detroit, MI 48209-2022 |
| Brad D Karwowski | Clinical Social Worker | Southwest Counseling Solutions Inc | 1700 Waterman St, Detroit, MI 48209-2022 |
| Ratnakar S Pai | Psychiatry | Southwest Counseling Solutions Inc | 1700 Waterman St, Detroit, MI 48209-2022 |
| Vijayalakshmi Lingam | Psychiatry | Southwest Counseling Solutions Inc | 1700 Waterman St, Detroit, MI 48209-2022 |
| Edgard Pedraza | Psychiatry | Southwest Counseling Solutions Inc | 1700 Waterman St, Detroit, MI 48209-2022 |
| Find all physicians in zip 48209 | |||
| City | DETROIT |
| Zip Code | 48209 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | DETROIT + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Anna M Gladstone.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.