Organization Active NPI

Gateway Ambulatory Anesthesia, LLC

  • Anesthesiology Physician
  • Chesterfield, MO
National Provider Identifier
1336486901
Registry record updated Jan 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
GATEWAY AMBULATORY ANESTHESIA, LLC
Practice address
14705 White Lane CT
Chesterfield, MO 63017-7955
Phone
(314) 575-1745
NPI assigned
Jan 15, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2013

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

Authorized official

Name
Joe Slimack, MD
Title
President
Phone
(314) 575-1745

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

14705 White Lane CT
Chesterfield, MO 63017-7955

Mailing address

11700 Preston Rd Ste 660-551
Dallas, TX 75230-6112
Phone (888) 559-2666

National Provider Directory

National Provider Directory

Locations

11700 Preston Rd
Ste 660551
Dallas, TX 75230

NPI Registry JSON

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

{
    "created_epoch": "1358208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358208000000",
    "number": "1336486901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11700 PRESTON RD STE 660-551",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752306112",
            "telephone_number": "888-559-2666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14705 WHITE LANE CT",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630177955",
            "telephone_number": "314-575-1745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY AMBULATORY ANESTHESIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-15",
        "last_updated": "2013-01-15",
        "status": "A",
        "authorized_official_last_name": "SLIMACK",
        "authorized_official_first_name": "JOE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-575-1745",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2013; 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.