GATEWAY NEPHROLOGY CORP (NPI# 1982843439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982843439 |
| Entity Type | Organization |
| Organization Name | GATEWAY NEPHROLOGY CORP |
| Practice Address |
11125 Dunn Rd Suite 410 Saint Louis MO 63136-6132 |
| Practice Telephone | 3147414411 |
| Enumeration Date | 2009-02-06 |
| Last Update Date | 2010-03-24 |
| Authorized Official Name | ERIK DANIELS (PHYSISICAN) |
| Authorized Official Telephone | 3147414411 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
111769 | MO | Ambulatory Health Care Facilities |
| Street Address |
11125 DUNN RD SUITE 410 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63136-6132 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083617294 | Morin Michael Hanson | Surgery | 11125 Dunn Rd, Ste 402, Saint Louis, MO 63136-6132 | 2005-05-23 |
| 1033612502 | Casey Wikiera | Counselor | 11125 Dunn Rd, Saint Louis, MO 63136-6132 | 2018-03-12 |
| 1457707705 | Renee Mcdonald | Nurse Practitioner | 11125 Dunn Rd, Suite 204, Saint Louis, MO 63136-6132 | 2016-05-05 |
| 1518320001 | Emily Rutledge | Case Manager/Care Coordinator | 11125 Dunn Rd, Suite 201, Saint Louis, MO 63136-6132 | 2016-04-01 |
| 1881060812 | Victoria Fisher | Counselor | 11125 Dunn Rd, Saint Louis, MO 63136-6132 | 2015-08-13 |
| 1942676101 | Nicole Willmering | Community Health Worker | 11125 Dunn Rd, Saint Louis, MO 63136-6132 | 2015-08-11 |
| 1457746125 | Claudia Bledsoe | Case Manager/Care Coordinator | 11125 Dunn Rd, Professional Bulding #2 Suite 201, Saint Louis, MO 63136-6132 | 2015-03-31 |
| 1295146744 | Carnecia Cole | Pharmacist | 11125 Dunn Rd, Saint Louis, MO 63136-6132 | 2014-05-17 |
| 1073923413 | Veronica Smotherson | Case Manager/Care Coordinator | 11125 Dunn Rd, Professional Office Building #2, Saint Louis, MO 63136-6132 | 2014-05-07 |
| 1366862781 | Yi Jiang | Social Worker | 11125 Dunn Rd, Saint Louis, MO 63136-6132 | 2014-04-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518565993 | Dorothy Smith | Home Health | 2531 Nathan Drive, St Louis, MO 63136 | 2020-10-16 |
| 1538784459 | Rita D Wilson | Technician | 9597 Jacobi Ave Bldg 33 Apt 7, Saint Louis, MO 63136 | 2020-06-16 |
| 1922646728 | Eduhealth Personal Care Services | Technician | 5843 Eagle Valley Dr Saint Louis Mo 63136, Saint Louis, MO 63136 | 2019-12-12 |
| 1558912964 | Homers Haven Home Care LLC | Home Health | 5636 Pamplin Pl, St Louis, MO 63136 | 2019-09-26 |
| 1366096703 | Chloe Suzanne Datillo | Nurse Practitioner | 2865 Netherton Dr., St Louis, MO 63136 | 2019-07-24 |
| 1053976431 | U Auto Be Quik LLC | Non-emergency Medical Transport (VAN) | 10352 Castle Drive, St. Louis, MO 63136 | 2019-05-01 |
| 1164945895 | A Plus Home Health Services LLC | Home Health | 9517 Wilson Bridge Drive, Saint Louis, MO 63136 | 2017-07-25 |
| 1184150302 | Fairview Village Adult Day Care LLC | Clinic/Center | 8449 Jennings Station Rd, Fairview Village Adult Day Care, Saint Louis, MO 63136 | 2017-05-08 |
| 1023541182 | Lots of Love Home Health Services | In Home Supportive Care | 4144 Lindell Blvd. Suite 218, Saint Louis, MO 63136 | 2017-04-06 |
| 1912440876 | Carestl Health | Clinic/Center | 7047 Emma Ave, Jennings, MO 63136 | 2016-11-28 |
| Find all providers in zip 63136 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871044735 | Susan D Purcell Md Dermatology LLC | Clinic/Center | 969 N Mason Rd Ste 170, Saint Louis, MO 63141-6387 | 2016-10-16 |
| 1154730414 | Mohammed Z Siddiqui Medical Consulting LLC | Clinic/Center | 10 Overbrook Dr, Saint Louis, MO 63124-1482 | 2014-08-11 |
| 1376875393 | Ballas Chiropractic Centre Inc | Clinic/Center | 11639 Studt Ave, Saint Louis, MO 63141-7015 | 2010-02-01 |
| 1285664268 | Physician Groups Lc | Clinic/Center | 670 Mason Ridge Center Dr, Suite 300, Saint Louis, MO 63141-8573 | 2006-07-04 |
| 1437185782 | Missouri Cvs Pharmacy, L.L.C. | Clinic/Center | 6600 Clayton Rd, Saint Louis, MO 63117-1602 | 2006-06-25 |
| 1104861129 | Missouri Cvs Pharmacy, L.L.C. | Clinic/Center | 10650 Olive Blvd, Saint Louis, MO 63141-7834 | 2006-06-17 |
| 1730540196 | Vein Specialties and Medi-spa, LLC | Clinic/Center | 1035 Bellevue Ave Ste 212, Saint Louis, MO 63117-1846 | 2016-03-14 |
| 1114344348 | St Louis Kidney, LLC | Clinic/Center | 12855 N 40 Dr, Suite 205, Saint Louis, MO 63141-8657 | 2014-03-26 |
| 1003246026 | True Results Missouri, LLC | Clinic/Center | 12855 N 40 Dr, Suite 275, Saint Louis, MO 63141-8657 | 2013-11-13 |
| 1811268428 | Joseph M Seria Md LLC | Clinic/Center | 3915 Watson Rd, Suite 204, Saint Louis, MO 63109-1251 | 2012-01-13 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63136 |
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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.