NPIMap

Organization Active NPI

Gateway Anesthesia Group LLC

  • Anesthesiology Physician
  • Saint Louis, MO
National Provider Identifier
1457040479
Registry record updated May 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
GATEWAY ANESTHESIA GROUP LLC
Practice address
10296 Big Bend Rd
Saint Louis, MO 63122-6425
Phone
(314) 735-0200
NPI assigned
May 4, 2023
Last updated
May 4, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2023

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

Authorized official

Name
Oliver Wolfe, MDNPI 1548399553
Title
Owner
Phone
(908) 653-9399

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)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

10296 Big Bend Rd
Saint Louis, MO 63122-6425

Mailing address

10431 Frontenac Woods LN
Saint Louis, MO 63131-3422
Phone (908) 653-9399

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230726000985 MO Part B Supplier - Clinic/Group Practice 0840651626 Receives reassigned benefits from 26 practitioners
Practice locations: Saint Louis, MO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 28

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1683158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683158400000",
    "number": "1457040479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10431 FRONTENAC WOODS LN",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631313422",
            "telephone_number": "908-653-9399",
            "fax_number": "908-653-9305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10296 BIG BEND RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631226425",
            "telephone_number": "314-735-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY ANESTHESIA GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-04",
        "last_updated": "2023-05-04",
        "certification_date": "2023-05-04",
        "status": "A",
        "authorized_official_last_name": "WOLFE",
        "authorized_official_first_name": "OLIVER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-653-9399",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "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 May 4, 2023; 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.

Verify at the official NPI Registry.