Dr. Milton R Gholston, MD
Family Medicine in Revere, Massachusetts
1518523828- Practice location
- 300 Ocean Ave, Revere, MA 02151-3675
- Phone
- 781-485-6000
- Fax
- —
- Last updated
- July 20, 2022
Milton Robert Avery Gholston is a Family Medicine based in Revere, MA. Milton Robert Avery Gholston practices in Revere, MA and has the professional credentials of MD. The NPI Number for Milton Robert Avery Gholston is 1518523828 and holds a License No. 291720 (MA). The current practice location address for Milton Robert Avery Gholston is 300 Ocean Ave, Revere, MA 02151-3675 and can be reached out via phone at 781-485-6000.
Provider Profile Details
- NPI Number
- 1518523828
- Provider Name
- Milton Robert Avery Gholston
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 300 Ocean Ave, Revere, MA 02151-3675
- Phone Number
- 781-485-6000
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 13, 2019
- Last Update Date
- July 20, 2022
- Certification Date
- July 20, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 300 Ocean Ave
Revere, MA 02151-3675 - City
- Revere
- State
- Massachusetts
- Zip
- 02151-3675
- Phone Number
- 781-485-6000
Provider Business Mailing Address Details
- Address
- 300 Ocean Ave
Revere, MA 02151-3675 - City
- Revere
- State
- MA
- Zip
- 02151-3675
- Phone Number
- 781-485-6000
License Information
- Taxonomy (1)
- Student in an Organized Health Care Education/Training Program · 390200000X
- License Number (2)
- 291720
- License State (2)
- MA
- Taxonomy (2)
- Family Medicine · 207Q00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Milton R Gholston, MD?
The NPI number of Dr. Milton R Gholston, MD is 1518523828. It was assigned on May 13, 2019 and is currently active in the NPPES registry.
What is the specialty of Dr. Milton R Gholston, MD?
Dr. Milton R Gholston, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in MA under license number 291720.
Where does Dr. Milton R Gholston, MD practice?
The practice location is 300 Ocean Ave, Revere, MA 02151-3675. The office can be reached at 781-485-6000 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1518523828 directly on the NPPES registry website.