NPIMap

Organization Active NPI

Gateway Endoscopy Center, LP

  • Ambulatory Surgical Clinic/Center
  • Saint Louis, MO
National Provider Identifier
1396063673
Registry record updated Jun 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
234-0 Issued in MO
Legal business name
GATEWAY ENDOSCOPY CENTER, LP
Practice address
12855 N 40 Dr
Ste 150
Saint Louis, MO 63141-8657
Phone
(314) 336-1130
Fax
(314) 336-1136
NPI assigned
May 11, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2015

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

Authorized official

Name
Katherine L Reed
Title
Medicare Authorized Official
Phone
(972) 763-3859

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 234-0 MO Primary

Addresses

Primary practice location

12855 N 40 Dr
Ste 150
Saint Louis, MO 63141-8657

Mailing address

12855 N 40 Dr
Ste 150
Saint Louis, MO 63141-8657
Phone (314) 336-1130

Other identifiers 1

IdentifierTypeStateIssuer
P00984819OtherMORAILROAD MEDICARE

Other names 1

  • Gateway Endoscopy Center Doing business as

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Gateway Endoscopy Center LPCCN 26C0001116
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

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": "1273536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433289600000",
    "number": "1396063673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12855 N 40 DR",
            "address_2": "STE 150",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418657",
            "telephone_number": "314-336-1130",
            "fax_number": "314-336-1136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12855 N 40 DR",
            "address_2": "STE 150",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418657",
            "telephone_number": "314-336-1130",
            "fax_number": "314-336-1136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY ENDOSCOPY CENTER, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-11",
        "last_updated": "2015-06-03",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MEDICARE AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "972-763-3859"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MO",
            "license": "234-0",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00984819",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gateway Endoscopy Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2015; 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.