Gateway Surgical Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

GATEWAY SURGICAL CENTER, LLC

Practice address

3215 Gateway Blvd W Ste 210
El Paso, TX 79903-4225

Phone

(915) 263-4850

Fax

(915) 247-2385

NPI assigned

Mar 15, 2019

Organization subpart

No

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

Authorized official

Name

Eduardo Vazquez, MDNPI 1225283211

Title

Ceo

Phone

(915) 598-7246

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Listed as

Gateway Surgical CenterCCN 45C0001708

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 7

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

• Eduardo Genaro Vazquez, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • El Paso, TX
  • NPI 1225283211

  TX

  Medicare reassignment Authorized official
• Carlos Eduardo Trigo, MD

  • Pain Medicine Physician
  • El Paso, TX
  • NPI 1487101259

  TX

  Medicare reassignment NPD
• Jessie Daniel Juan Coleman, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • El Paso, TX
  • NPI 1174806277

  TX

  Medicare reassignment
• David A Durussel, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • El Paso, TX
  • NPI 1700896982

  TX

  Medicare reassignment
• Whitley Sarjeah Miles, CRNA

  • Certified Registered Nurse Anesthetist
  • El Paso, TX
  • NPI 1194351858

  TX

  Medicare reassignment
• Harold Wayne Ray Jr., MD

  • Anesthesiology Physician
  • El Paso, TX
  • NPI 1811314149

  TX

  Medicare reassignment
• Paolo Mimbella, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • San Francisco, CA
  • NPI 1831599794

  TX

  Medicare reassignment

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

{
    "created_epoch": "1552608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583798400000",
    "number": "1124587548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3215 GATEWAY BLVD W STE 210",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799034225",
            "telephone_number": "915-263-4850",
            "fax_number": "915-263-4855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3215 GATEWAY BLVD W STE 210",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799034225",
            "telephone_number": "915-263-4850",
            "fax_number": "915-247-2385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY SURGICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-15",
        "last_updated": "2020-03-10",
        "certification_date": "2020-03-10",
        "status": "A",
        "authorized_official_last_name": "VAZQUEZ",
        "authorized_official_first_name": "EDUARDO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "915-598-7246",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gaswork Anesthesia PLLC
• Michael J Gately
• Mark Louis Gates, CRNA
• Gateway Internal Medicine Associates PA
• Gateway Primary Care Associates, P.a.
• Marissa Irene Gattone, LCGC
• Sumit Gaur, MD
• Jose Gavito Higuera, M.D.
• Maycrystal Gay, COTA/L
• Robert B Gayle, D.O.

• All providers in El Paso, TX
• Ambulatory Surgical Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.