Active NPI
Gateway Medical Group LC
- Cardiovascular Disease Physician
- Okeechobee, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- ME0043238
- Legal business name
- GATEWAY MEDICAL GROUP LC
- Practice address
- 111 NE 19TH Dr
Okeechobee, FL 34972-1933 - Phone
- (863) 357-1068
- NPI assigned
- Sep 1, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. John Smith
- Title
- Coo
- Phone
- (863) 467-7084
Specialties & licenses 12
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME0071118 | FL | |
| Internal Medicine Physician | 207R00000X | ME0077602 | FL | |
| Internal Medicine Physician | 207R00000X | ME0071683 | FL | |
| Cardiovascular Disease Physician | 207RC0000X | ME0043238 | FL | Primary |
| Gastroenterology Physician | 207RG0100X | ME0066502 | FL | |
| Pulmonary Disease Physician | 207RP1001X | ME0057971 | FL | |
| Obstetrics & Gynecology Physician | 207V00000X | ME0021723 | FL | |
| Clinical Pathology/Laboratory Medicine Physician | 207ZP0105X | ME0060313 | FL | |
| Pediatrics Physician | 208000000X | ME0060312 | FL | |
| Neurology Physician | 2084N0400X | ME0069465 | FL | |
| Surgery Physician | 208600000X | ME0021272 | FL | |
| Urology Physician | 208800000X | ME0080601 | FL |
Addresses
Primary practice location
111 NE 19TH Dr
Okeechobee, FL 34972-1933
Mailing address
312 NW 5TH St
Okeechobee, FL 34972-2565
Phone (863) 467-7084
National Provider Directory
National Provider DirectoryLocations
235 NE 19th Dr
Okeechobee, FL 34972
Phone (863) 357-1166
312 NW 5th St
Okeechobee, FL 34972
265 NE 19th Dr
Okeechobee, FL 34972
Phone (863) 357-0104
2257 US Highway 441 N
Ste B
Okeechobee, FL 34972
Phone (863) 824-3480
306 NE 19th Dr
Okeechobee, FL 34972
Phone (863) 763-6427
210 NW Park St
Okeechobee, FL 34972
Phone (863) 467-7084
300 NW 5th St
Ste 312
Okeechobee, FL 34972
Phone (321) 626-4941
2257 US Highway 441 N
Ste D
Okeechobee, FL 34972
Phone (863) 357-9677
Practitioners & affiliated clinicians
Practitioners 18
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Anesthesiology Physician
- Palm Beach Gardens, FL
- NPI 1063450310
-
- Nurse Practitioner
- Okeechobee, FL
- NPI 1871000232
-
- Internal Medicine Physician
- Okeechobee, FL
- NPI 1669466751
Internal Medicine
-
- Family Medicine Physician
- Hobe Sound, FL
- NPI 1851310445
-
- Ophthalmology Physician
- Okeechobee, FL
- NPI 1639281025
-
- Foot & Ankle Surgery Podiatrist
- Port St Lucie, FL
- NPI 1013957166
-
- Anatomic Pathology & Clinical Pathology Physician
- Okeechobee, FL
- NPI 1427155761
-
- Orthopaedic Surgery Physician
- Okeechobee, FL
- NPI 1962499129
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125532800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1124012422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "312 NW 5TH ST",
"city": "OKEECHOBEE",
"state": "FL",
"postal_code": "349722565",
"telephone_number": "863-467-7084",
"fax_number": "863-467-6833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 NE 19TH DR",
"city": "OKEECHOBEE",
"state": "FL",
"postal_code": "349721933",
"telephone_number": "863-357-1068"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GATEWAY MEDICAL GROUP LC",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-01",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "863-467-7084",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME0071118",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME0077602",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME0071683",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "FL",
"license": "ME0043238",
"primary": true
},
{
"code": "207RG0100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": "FL",
"license": "ME0066502",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "FL",
"license": "ME0057971",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "FL",
"license": "ME0021723",
"primary": false
},
{
"code": "207ZP0105X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pathology, Clinical Pathology/Laboratory Medicine",
"state": "FL",
"license": "ME0060313",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "FL",
"license": "ME0060312",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": "FL",
"license": "ME0069465",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": "FL",
"license": "ME0021272",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Urology",
"state": "FL",
"license": "ME0080601",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Okeechobee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.