CHERYL GIBSON FOUNTAIN (M.D.) – Obstetrics & Gynecology Physician, NPI 1184612574

CHERYL GIBSON FOUNTAIN (M.D.) is a healthcare provider. based in Saint clair shores, Michigan. specializing in Obstetrics & Gynecology Physician. They hold the professional credentials M.D.. They hold a License No. 4301052473 (MI). The NPI Number for CHERYL GIBSON FOUNTAIN (M.D.) is 1184612574

Main info

Female
39 Years Of Experience
Accepts Medicare Assignment
Name
CHERYL GIBSON FOUNTAIN (M.D.)
NPI
1184612574
Phone
(586) 498-4400
Address
21400 E 11 Mile Rd
Enumeration Date
10 October 2005
Last Update Date
22 October 2020

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
1987 (39 years ago)
PAC ID
9931128881
Group Practice PAC ID
9335051093
Professional Enrollment ID
I20051121000316

Contacts

Secure Messaging
cgibsonfountain22996@direct.beaumont.edu
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

Provider Addresses for CHERYL GIBSON FOUNTAIN (M.D.)

  • 21400 E 11 Mile Rd

    Saint Clair Shores, MI 480811566

    Phone: (586) 498-4400

    Type: Location

  • Garfield Road, Clinton Township, Macomb County, Michigan, 48038, United States

    CLINTON TWP, MI 480381136

    Phone: (800) 848-0202

    Fax: (586) 226-6949

    Type: Mailing

  • East Jefferson Avenue, Grosse Pointe Park, Wayne County, Michigan, 48215, United States

    GROSSE POINTE PARK, MI 482302050

    Phone: (313) 823-4682

    Fax: (313) 823-8022

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48081)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9335051093View full group profile
NameSpecialtyState
Interventional Cardiology, Cardiovascular Disease (Cardiology)MI
-MI
-MI
-MI
-MI
O B S T E T R I C S/ G Y N E C O L O G YMI
-MI
-MI
O B S T E T R I C S/ G Y N E C O L O G YMI
-MI

Reviews

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Frequently asked questions

What identifier follows CHERYL GIBSON FOUNTAIN (M.D.) across health systems?
The NPI 1184612574 uniquely identifies CHERYL GIBSON FOUNTAIN (M.D.) in U.S. healthcare data.
Is CHERYL GIBSON FOUNTAIN (M.D.) currently accepting referrals based on NPI status?
Registry metadata lists CHERYL GIBSON FOUNTAIN (M.D.) as active.
What services align with CHERYL GIBSON FOUNTAIN (M.D.)'s listing?
CHERYL GIBSON FOUNTAIN (M.D.)'s public classification highlights Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to CHERYL GIBSON FOUNTAIN (M.D.)?
CHERYL GIBSON FOUNTAIN (M.D.) is associated with Saint Clair Shores, Michigan in the same public data insurers reference.
Why is information missing for CHERYL GIBSON FOUNTAIN (M.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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