GATEWAY HEALTHCARE, INC (NPI# 1477583706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477583706 |
| Entity Type | Organization |
| Organization Name | GATEWAY HEALTHCARE, INC |
| Practice Address |
249 Roosevelt Ave Ste 205 Pawtucket RI 02860-2134 |
| Practice Telephone | 4017248400 |
| Practice Fax Number | 4013651100 |
| Mailing Telephone | 4017248400 |
| Mailing Fax Number | 4013651100 |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | PEDRO TACTACAN (CRED COORDINATOR) |
| Authorized Official Telephone | 4017248400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | MD100002 | RI | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | PT44450 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366476707 | Gateway Healthcare, Inc | Counselor | 80 Hamlet Ave, Woonsocket, RI 02895-4410 | 2006-07-10 |
| 1629008826 | Gateway Healthcare, Inc | Specialist | 351 Benefit St, Pawtucket, RI 02861-1200 | 2006-07-03 |
| 1669408340 | Gateway Healthcare, Inc | Social Worker | 422 Post Rd, Warwick, RI 02888-1539 | 2006-06-24 |
| 1811923519 | Gateway Healthcare, Inc | Specialist | 58 Hamlet Ave, Woonsocket, RI 02895-4423 | 2006-06-24 |
| 1154324101 | Gateway Healthcare, Inc | Case Management | 249 Roosevelt Ave, Unit 205, Pawtucket, RI 02860-2134 | 2005-05-23 |
| 1952699985 | Gateway Healthcare, Inc | Day Training, Developmentally Disabled Services | 249 Roosevelt Ave, Suite 249, Pawtucket, RI 02860-2134 | 2011-07-12 |
| 1891969747 | Gateway Healthcare, Inc | Community/Behavioral Health | 1516 Atwood Ave, Johnston, RI 02919-3223 | 2008-04-22 |
| 1033137211 | Gateway Healthcare, Inc | Specialist | 249 Roosevelt Ave, Ste 205, Pawtucket, RI 02860-2134 | 2006-07-17 |
| 1346275880 | Gateway Healthcare, Inc | Social Worker | 249 Roosevelt Ave, Suite 205, Pawtucket, RI 02860-2134 | 2006-07-12 |
| 1184658577 | Gateway Healthcare, Inc | Specialist | 1443 Hartford Ave, Johnston, RI 02919-3224 | 2006-07-10 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | GATEWAY HEALTHCARE, INC. | 29222 Rancho Viejo Rd. 127, San Juan Capistrano, CA 92675 |
| Washington State Corporations | GATEWAY HEALTHCARE, INC. | 6300 Pacific Hwy E, Tacoma, WA 98424 |
| Massachusetts Corporations | GATEWAY HEALTHCARE, INC. | 249 Roosevelt Ave., Pawtucket, RI 02860-2134 |
| Street Address |
249 ROOSEVELT AVE STE 205 |
| City | PAWTUCKET |
| State | RI |
| Zip Code | 02860-2134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154324101 | Gateway Healthcare, Inc | Case Management | 249 Roosevelt Ave, Unit 205, Pawtucket, RI 02860-2134 | 2005-05-23 |
| 1487267449 | Silifat Adedayo Ainabe | Clinic/Center | 249 Roosevelt Ave, Pawtucket, RI 02860-2134 | 2020-08-28 |
| 1093379190 | Carla Justiniano | Social Worker | 249 Roosevelt Ave, Pawtucket, RI 02860-2134 | 2019-04-24 |
| 1467915561 | Haleigh O'brien | Social Worker | 249 Roosevelt Ave, Pawtucket, RI 02860-2134 | 2019-04-08 |
| 1235614769 | Alim Hos | Counselor | 249 Roosevelt Ave, Pawtucket, RI 02860-2134 | 2018-10-01 |
| 1982193884 | Angela Gallo | Social Worker | 249 Roosevelt Ave, Pawtucket, RI 02860-2134 | 2018-05-07 |
| 1033607072 | Jennifer M Pelkey | Counselor | 249 Roosevelt Ave, Pawtucket, RI 02860-2134 | 2018-04-25 |
| 1801323910 | Jenna Petrucci | Counselor | 249 Roosevelt Ave, Pawtucket, RI 02860-2134 | 2017-05-19 |
| 1942736855 | Briana Ransford | Counselor | 249 Roosevelt Ave, Suite 205, Pawtucket, RI 02860-2134 | 2017-05-11 |
| 1275071409 | Wanda M Angel | Social Worker | 249 Roosevelt Ave, Pawtucket, RI 02860-2134 | 2017-02-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972096923 | Lmb Medical LLC | Internal Medicine | 127 School St, Pawtucket, RI 02860 | 2018-06-13 |
| 1215420435 | Tyla Jackson | Behavior Technician | 70 Wood St Apt 22, Pawtucket, RI 02860 | 2018-06-12 |
| 1376048637 | Michael A Iadevaia | Family Medicine | 111 Brewster St Fl 3, Pawtucket, RI 02860 | 2018-03-28 |
| 1730690488 | Anthony Edwin Ramicone | Physician Assistant | 407 East Ave Ste 120, Pawtucket, RI 02860 | 2017-10-21 |
| 1669991352 | Kathleen K. Kroessler, Md; Neurology & Acupuncture, Inc. PC | Clinic/Center | 407 East Ave; Suite 110, Pawtucket, RI 02860 | 2017-09-13 |
| 1841716230 | Ri Alternative Academy Management, LLC | Local Education Agency (LEA) | 249 Roosevelt Avenue, Pawtucket, RI 02860 | 2017-08-17 |
| 1396265724 | Hannah R Stoops | Family Medicine | 111 Brewster St Fcc A, Pawtucket, RI 02860 | 2017-06-27 |
| 1427578400 | Shaun Michael Flynn | Family Medicine | 111 Brewster St, Fcc A, Pawtucket, RI 02860 | 2017-06-21 |
| 1073051843 | Laura Jane Amaral | Counselor | 750 East Ave Unit 1e, Pawtucket, RI 02860 | 2017-02-01 |
| 1063862027 | Stephanie Shoppell | Counselor | 105 Bacon Street, Pawtucket, RI 02860 | 2016-06-20 |
| Find all providers in zip 02860 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023405644 | Kimberly Willett | Specialist | 77 Warwick Rd, Pawtucket, RI 02861-2623 | 2015-04-21 |
| 1629008826 | Gateway Healthcare, Inc | Specialist | 351 Benefit St, Pawtucket, RI 02861-1200 | 2006-07-03 |
| 1659337244 | Henry G. Magendantz | Specialist | 407 East Avenue, Suite 200, Pawtucket, RI 02860 | 2006-04-24 |
| 1093798910 | Patricia N Soscia | Specialist | 407 East Ave, Suite 250, Pawtucket, RI 02860 | 2005-11-23 |
| 1780672709 | Orthopedic Group, Inc. | Specialist | 588 Pawtucket Ave, Pawtucket, RI 02860-6057 | 2005-10-13 |
| 1669466470 | Thomas D Dellatorre | Specialist | 333 School St, Suite 302, Pawtucket, RI 02860-5334 | 2005-09-07 |
| 1952307803 | John Michael Conte | Specialist | 407 East Ave., Suite 250, Pawtucket, RI 02860 | 2005-06-24 |
| 1598007221 | Hearing Centers of Rhode Island | Specialist | 333 School St, Suite 210, Pawtucket, RI 02860-5334 | 2013-03-20 |
| 1043496359 | East Side Surgical Group Inc | Specialist | 407 East Avenue, Suite 200, Pawtucket, RI 02860-5299 | 2008-01-16 |
| 1437212024 | Kids Klub, Inc. | Specialist | 462 Smithfield Ave, Pawtucket, RI 02860-2552 | 2006-12-18 |
| Find all providers in PAWTUCKET | ||||
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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.