Active NPI
Gateway Ambulatory Anesthesia, LLC
- Anesthesiology Physician
- Chesterfield, MO
National Provider Identifier
1336486901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 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 DirectoryLocations
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.