Active NPI
Daniel Gaitan Healthcare, Inc
- Endocrinology, Diabetes & Metabolism Physician
- Saint Louis, MO
National Provider Identifier
1407487457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- Legal business name
- DANIEL GAITAN HEALTHCARE, INC
- Practice address
- 425 N New Ballas Rd Ste 107
Saint Louis, MO 63141-6845 - Phone
- (314) 432-2592
- Fax
- (314) 432-2595
- NPI assigned
- Jan 29, 2020
- 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
- Dr. Daniel Gaitan
- Title
- Owner
- Phone
- (314) 498-1977
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | Primary |
Addresses
Primary practice location
425 N New Ballas Rd Ste 107
Saint Louis, MO 63141-6845
Mailing address
425 N New Ballas Rd Ste 107
Saint Louis, MO 63141-6845
Phone (314) 432-2592
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
425 N New Ballas Rd
Ste 107
Saint Louis, MO 63141
Phone (314) 432-2592
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1598865636
Endocrinology, Diabetes & Metabolism
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580256000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1614556800000",
"number": "1407487457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 N NEW BALLAS RD STE 107",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631416845",
"telephone_number": "314-432-2592"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 N NEW BALLAS RD STE 107",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631416845",
"telephone_number": "314-432-2592",
"fax_number": "314-432-2595"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DANIEL GAITAN HEALTHCARE, INC",
"organizational_subpart": "NO",
"enumeration_date": "2020-01-29",
"last_updated": "2021-03-01",
"certification_date": "2021-03-01",
"status": "A",
"authorized_official_last_name": "GAITAN",
"authorized_official_first_name": "DANIEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "314-498-1977",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Mar 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.