Organization Active NPI

Gateway Imaging LLC

  • Diagnostic Radiology Physician
  • Evansville, IN
National Provider Identifier
1275747883
Registry record updated Nov 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
GATEWAY IMAGING LLC
Doing business as
DOCTORS PLAZA X-RAY
Practice address
611 Harriet St
Suite 103
Evansville, IN 47710-1781
Phone
(812) 464-0031
Fax
(812) 464-0039
NPI assigned
May 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2007

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

Authorized official

Name
Kathleen Dockery
Title
Administrator
Phone
(812) 422-3254

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

611 Harriet St
Suite 103
Evansville, IN 47710-1781

Mailing address

611 Harriet St
Suite 103
Evansville, IN 47710-1781
Phone (812) 464-0031

Other names 1

  • DOCTORS PLAZA X-RAY Doing business as

National Provider Directory

National Provider Directory

Locations

611 Harriet St
Ste 103
Evansville, IN 47710
Phone (812) 464-0031

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195516800000",
    "number": "1275747883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 HARRIET ST",
            "address_2": "SUITE 103",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477101781",
            "telephone_number": "812-464-0031",
            "fax_number": "812-464-0039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 HARRIET ST",
            "address_2": "SUITE 103",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477101781",
            "telephone_number": "812-464-0031",
            "fax_number": "812-464-0039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2007-11-20",
        "status": "A",
        "authorized_official_last_name": "DOCKERY",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "812-422-3254"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DOCTORS PLAZA X-RAY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Evansville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2007; 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.