Gateway Wellness Center, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

35072866 Issued in OH

Legal business name

GATEWAY WELLNESS CENTER, LLC

Practice address

112 Jefferson Ave
Suite 201
Columbus, OH 43215-1861

Phone

(614) 453-1065

Fax

(614) 453-1078

NPI assigned

Jul 15, 2009

Organization subpart

No

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

Authorized official

Name

Mark Anthony White, MD

Title

President/Owner

Phone

(614) 453-1065

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Janet Bennett

  • Registered Dietitian
  • Springfield, OH
  • NPI 1447438056
  NPD (past)

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

{
    "created_epoch": "1247616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247616000000",
    "number": "1154551802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 JEFFERSON AVE",
            "address_2": "SUITE 201",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432151861",
            "telephone_number": "614-453-1065",
            "fax_number": "614-453-1078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 JEFFERSON AVE",
            "address_2": "SUITE 201",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432151861",
            "telephone_number": "614-453-1065",
            "fax_number": "614-453-1078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-15",
        "last_updated": "2009-07-15",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "614-453-1065",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OH",
            "license": "35072866",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2138485",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Teresa Sue Gates, OTR/L
• Gateway Dental Center Dr. Wesley B Rosenthal and Associates, L.L.C.
• Gateway Healthcare Services LLC
• Gateway Medical Center LLC
• Gateway Wellness Center LLC
• Amina A Gatewood
• Ashley Gatewood, BSN, RN
• Nancy Gatewood
• Pamela Gatewood
• Shakira N Gathiuni, CRNA

• Specialist in Columbus, OH
• Providers in Columbus, OH by specialty
• Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2009; 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.