Gateway Direct Primary Care JV LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

GATEWAY DIRECT PRIMARY CARE JV LLC

Practice address

1574 Woodlake Dr
Chesterfield, MO 63017-5712

Phone

(866) 808-6005

NPI assigned

Sep 11, 2019

Organization subpart

No

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

Authorized official

Name

Jill Johnson Patton

Title

Director of Risk Management

Phone

(704) 936-5546

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

Tax ID family

Gateway Direct Primary Care JV LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

• Gateway Direct Primary Care JV LLC

  • Family Medicine Physician
  • Saint Louis, MO
  • NPI 1285228304
  NPD tax ID
• Gateway Direct Primary Care JV LLC

  • Family Medicine Physician
  • Florissant, MO
  • NPI 1346831849
  NPD tax ID
• Gateway Direct Primary Care JV LLC

  • Family Medicine Physician
  • Saint Peters, MO
  • NPI 1437743556
  NPD tax ID
• Gateway Direct Primary Care JV LLC

  • Family Medicine Physician
  • Creve Coeur, MO
  • NPI 1548893530
  NPD tax ID

Locations

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

{
    "created_epoch": "1568160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658966400000",
    "number": "1154970127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 WEWATTA ST STE 350",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802025553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1574 WOODLAKE DR",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630175712",
            "telephone_number": "866-808-6005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY DIRECT PRIMARY CARE JV LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-11",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-28",
        "status": "A",
        "authorized_official_last_name": "PATTON",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "JOHNSON",
        "authorized_official_title_or_position": "DIRECTOR OF RISK MANAGEMENT",
        "authorized_official_telephone_number": "704-936-5546"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Garyweinstein,DDS,PC
• Jennifer Marie Garza, OTR/L
• Kaitlyn Garza
• Gateway 2 Health Inc
• Gateway Ambulatory Anesthesia, LLC
• Gateway Gastroenterology Inc
• Gateway Medical Equipment, L.L.C.
• Gateway Pediatrics, LTD
• Gateway Wound Care LLC
• Mark Allen Gdowski, MD

• Family Medicine Physician in Chesterfield, MO
• Providers in Chesterfield, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.