GATEWAY DETROIT (NPI# 1831508522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831508522 |
| Entity Type | Organization |
| Organization Name | GATEWAY DETROIT |
| Practice Address |
11457 Shoemaker St Detroit MI 48213-3418 |
| Practice Telephone | 3133313435 |
| Practice Fax Number | 3139240609 |
| Mailing Telephone | 3133313435 |
| Mailing Fax Number | 3139240609 |
| Enumeration Date | 2014-08-06 |
| Last Update Date | 2014-08-06 |
| Authorized Official Name | FREDERICK CARR (SOCIAL WORKER/CASE MANAGER) |
| Authorized Official Telephone | 3133313435 |
| Authorized Official Credential | B.S.,S.S.T |
| Is Organization Subpart | Y |
| Parent Organization Name | GATEWAY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305R00000X | Preferred Provider Organization | 6803086187 | MI | Managed Care Organizations |
| Street Address |
11457 SHOEMAKER ST |
| City | DETROIT |
| State | MI |
| Zip Code | 48213-3418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205854916 | Detroit East, Inc | Clinic/Center | 11457 Shoemaker St, Detroit, MI 48213-3418 | 2006-07-18 |
| 1609238674 | Satyamurthy Kotamraju Md PC | Psychiatry & Neurology | 11457 Shoemaker St, Detroit, MI 48213-3418 | 2016-03-28 |
| 1619366705 | Moidunny N Abdutty Sr. | Social Worker | 11457 Shoemaker St, Detroit, MI 48213-3418 | 2015-01-13 |
| 1265833495 | Gwendolyn Wright | Social Worker | 11457 Shoemaker St, Detroit, MI 48213-3418 | 2014-09-08 |
| 1518367390 | Aurora Cebu | Registered Nurse | 11457 Shoemaker St, Detroit, MI 48213-3418 | 2014-08-28 |
| 1497155501 | Yolanda James | Registered Nurse | 11457 Shoemaker St, Detroit, MI 48213-3418 | 2014-08-26 |
| 1932509130 | Tiffany Reece | Social Worker | 11457 Shoemaker St, Detroit, MI 48213-3418 | 2014-08-26 |
| 1053720706 | Matthew Brown | Social Worker | 11457 Shoemaker St, Detroit, MI 48213-3418 | 2014-08-07 |
| 1053720672 | Lauren Hyde Swanson | Social Worker | 11457 Shoemaker St, Detroit, MI 48213 | 2014-08-07 |
| 1770992455 | Safanya Kent | Social Worker | 11457 Shoemaker St, Detroit, MI 48213-3418 | 2014-08-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215540430 | Sheronda Lanetta Blackmon | Licensed Practical Nurse | 13929 Harper Ave., Detroit, MI 48213 | 2020-08-27 |
| 1073049144 | Cheryl Williams | Community Health Worker | 13929 Chalmers Ave., Detroit, MI 48213 | 2017-05-10 |
| 1164963401 | Smile Fresh Detroit PC | Dentist | 7230 Gratiot Avenue, Detroit, MI 48213 | 2017-03-20 |
| 1255887899 | Jay Washington | Behavioral Analyst | 9146 Haper, Detroit, MI 48213 | 2016-09-01 |
| 1396129532 | Sarietha King | Home Health | 14639 Manistique, Detroit, MI 48213 | 2015-07-17 |
| 1366823197 | Royal Treatment Mental Health Systems, LLC | Counselor | 5555 Corner Avenue, Detroit, MI 48213 | 2015-06-17 |
| 1477956779 | Monique Powell | Student in an Organized Health Care Education/Training Program | 5801 Lakeview S.t, Detroit, MI 48213 | 2014-09-30 |
| 1629339163 | Samuel Joseph Farmer | Counselor | 10100 Harper Ave., Detroit, MI 48213 | 2012-05-31 |
| 1609164755 | Vernon Keith Johnson | Social Worker | 20203 Kelly Road, Detroit, MI 48213 | 2011-07-11 |
| 1023312790 | Davenport Quality Home Care LLC | Home Health | 5027 Maxwell, Detroit, MI 48213 | 2011-01-10 |
| Find all providers in zip 48213 | ||||
| Taxonomy Code | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104362938 | Maternal Instinct Doulas | Preferred Provider Organization | 4899 Underwood St, Detroit, MI 48204-2126 | 2017-01-18 |
| 1962801175 | Senior Angels Inc | Preferred Provider Organization | 9368 Forrer St, Detroit, MI 48228-2116 | 2014-08-14 |
| 1023353554 | Roderick's Therapeutic Massage Service | Preferred Provider Organization | 14840 Mapleridge St, Detroit, MI 48205-3023 | 2012-12-10 |
| 1942307590 | Elite of Care Services, Inc | Preferred Provider Organization | 15442 Oakfield St, Detroit, MI 48227-1534 | 2006-09-17 |
| 1306387675 | Vhs Detroit Businesses Inc | Preferred Provider Organization | 4707 Saint Antoine St, Suite 5 South, Detroit, MI 48201-1427 | 2017-03-20 |
| 1144767690 | Massage Matters Michigan LLC | Preferred Provider Organization | 17707 Fenkell St, Detroit, MI 48227-1513 | 2017-01-23 |
| 1851750608 | Onyx and Dedicated Dental Services | Preferred Provider Organization | 645 Griswold St, Suite 224, Detroit, MI 48226-4105 | 2016-02-22 |
| 1871984880 | Children's Alliance of Metro Detroit | Preferred Provider Organization | 10 Witherell St, Suite 2702, Detroit, MI 48226-1661 | 2015-02-12 |
| 1154663268 | Adult Well Being Services | Preferred Provider Organization | 1423 Field St, Detroit, MI 48214-2321 | 2013-03-27 |
| 1619285533 | Family Service Inc | Preferred Provider Organization | 10900 Harper Ave, Detroit, MI 48213-3364 | 2010-09-14 |
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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.