GATEWAY DIGESTIVE AND LIVER SPECIALISTS, LLC (NPI# 1265566780) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265566780 |
| Entity Type | Organization |
| Organization Name | GATEWAY DIGESTIVE AND LIVER SPECIALISTS, LLC |
| Practice Address |
4510 Delmar Blvd Saint Louis MO 63108-1702 |
| Practice Telephone | 3144546903 |
| Practice Fax Number | 3144546652 |
| Mailing Telephone | 3144546903 |
| Mailing Fax Number | 3144546652 |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2016-07-08 |
| Authorized Official Name | MS. RACHEL A MONTEMAYOR (OFFICE MANAGER) |
| Authorized Official Telephone | 3144546903 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
107492 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 208107912 | 05 | |
| MO | RR MEDICARE | DC2409 | 01 |
| Street Address |
4510 DELMAR BLVD |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63108-1702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508800582 | Damon C Clines | Internal Medicine | 4510 Delmar Blvd, Saint Louis, MO 63108-1702 | 2006-06-16 |
| 1114380052 | Central West End Endoscopy | Clinic/Center | 4510 Delmar Blvd, Saint Louis, MO 63108-1702 | 2016-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346851474 | Nigel Austen Thomas Cook | Social Worker | 4050 West Pine Blvd. Apt. 4118, St. Louis, MO 63108 | 2020-08-12 |
| 1467070011 | C2n Diagnostics, LLC | Clinical Medical Laboratory | 20 South Sarah Street, Saint Louis, MO 63108 | 2020-07-10 |
| 1609414358 | Kaylee Breitenbucher | Occupational Therapist | 4444 Forest Park Avenue, Msc 8505-94-01, St. Louis, MO 63108 | 2019-12-12 |
| 1114419546 | Activangels Home Health | Home Health | 4625 Lindell Blvd Ste 304, Saint Louis, MO 63108 | 2018-06-01 |
| 1215427349 | Heart To Heart Consolidated Home Care Service LLC | Home Health | 4625 Lindell Blvd Ste 200, Saint Louis, MO 63108 | 2018-05-15 |
| 1447755905 | Erin Virginia Adams | Student in an Organized Health Care Education/Training Program | 4355 Maryland Ave Apt 116, Saint Louis, MO 63108 | 2018-03-27 |
| 1033621172 | Roots Healthcare and Homes | In Home Supportive Care | 4300 Enright Ave, St. Louis, MO 63108 | 2017-10-30 |
| 1336661719 | House of Destiny Adult Day Care LLC | Clinic/Center | 4507 Olive Street, St Louis, MO 63108 | 2017-07-07 |
| 1003338492 | Khin Min Thu | Social Worker | 4236 Lindell Blvd., Suite 200, St Louis, MO 63108 | 2017-07-07 |
| 1679093967 | Together We Can Home Healthcare Services LLC | Home Health | 4144 Lindell Blvd Suite 221, Saint Louis, MO 63108 | 2017-06-27 |
| Find all providers in zip 63108 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215359484 | Advanced Gastroenterology & Colon Cancer Screening Center LLC | Internal Medicine | 763 S New Ballas Rd # 265, Saint Louis, MO 63141-8704 | 2014-01-07 |
| 1689014276 | Antonio Ricardo Cheesman Rocca | Internal Medicine | 1225 S Grand Blvd Fl 3, Saint Louis, MO 63104-1016 | 2013-06-27 |
| 1720346729 | Kayci Renee Huff-hardy | Internal Medicine | 621 S New Ballas Rd Ste 437a, Saint Louis, MO 63141-8259 | 2012-04-26 |
| 1750676664 | Parul Gor | Internal Medicine | 615 S New Ballas Rd Ste 1200, Saint Louis, MO 63141 | 2011-06-20 |
| 1902034499 | Giao Vuong | Internal Medicine | 6400 Clayton Rd Ste 216, Saint Louis, MO 63117-1850 | 2009-06-23 |
| 1790908820 | Kishore Maganty | Internal Medicine | 522 N New Ballas Rd Ste 210, Saint Louis, MO 63141-6829 | 2007-04-10 |
| 1043309792 | Robert M Mcmahon | Internal Medicine | 1610 Des Peres Rd Ste 150, Saint Louis, MO 63131-1863 | 2006-10-12 |
| 1154418119 | Hugo A Villarreal | Internal Medicine | 13276 Manchester Rd, Saint Louis, MO 63131-1706 | 2006-10-09 |
| 1952494932 | Muhammad A. Nyazee | Internal Medicine | 11155 Dunn Rd Ste 212e, Saint Louis, MO 63136-6166 | 2006-10-02 |
| 1487745360 | David J Costigan | Internal Medicine | 10007 Kennerly Rd, Saint Louis, MO 63128-2179 | 2006-09-27 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63108 |
Please comment or provide details below to improve the information on GATEWAY DIGESTIVE AND LIVER SPECIALISTS, LLC.
| 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.