Gateway Area Medical PCP

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

GATEWAY AREA MEDICAL PCP

Practice address

635C Maple Ave
Du Bois, PA 15801-2377

Phone

(814) 371-1771

Fax

(814) 371-4417

NPI assigned

Apr 18, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Linda J Nowak

Title

Billing Dept

Phone

(814) 371-1771

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Gateway Area Medical PCP2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Gateway Area Medical Spec

  • Neonatal-Perinatal Medicine Physician
  • Du Bois, PA
  • NPI 1760448716
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• W. John Siar, MD

  • Neonatal-Perinatal Medicine Physician
  • Du Bois, PA
  • NPI 1639174055

  Pediatrics

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292198400000",
    "number": "1104881648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635C MAPLE AVE",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158012377",
            "telephone_number": "814-371-1771",
            "fax_number": "814-371-4417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635C MAPLE AVE",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158012377",
            "telephone_number": "814-371-1771",
            "fax_number": "814-371-4417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY AREA MEDICAL PCP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-18",
        "last_updated": "2010-12-13",
        "status": "A",
        "authorized_official_last_name": "NOWAK",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "BILLING DEPT",
        "authorized_official_telephone_number": "814-371-1771"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010511850004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Justin W Galosi, BA
• Edgar Bonchita Gantalao, M.D.
• Elaine J Garred, CRNA
• Sean Patrick Garred, MED LPC CRC
• Brian M Gates, DO
• Gateway Area Medical Spec
• Rachel Sabina Gearhart, PA
• Victoria Geist, LSW
• Jeffrey Allen Genevro, CRNA
• Thomas B Gentilcore, M.D

• All providers in Du Bois, PA
• Pediatrics Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.