Gateway Medical Supply LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

GATEWAY MEDICAL SUPPLY LLC

Practice address

1108 New York Ave Unit 1
Saint Cloud, FL 34769-3701

Phone

(407) 337-5112

Fax

(407) 337-5113

NPI assigned

May 28, 2020

Last updated

Aug 16, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Uche Ukeagu, DCNPI 1033599964

Title

Ceo

Phone

(954) 415-5931

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 1

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.

• Uche Ukeagu

  • Chiropractor
  • Maitland, FL
  • NPI 1033599964
  NPD Authorized official

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

{
    "created_epoch": "1590624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597536000000",
    "number": "1457974156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5351 COSTA DEL SOL DR",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347717561",
            "telephone_number": "954-415-5931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 NEW YORK AVE UNIT 1",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347693701",
            "telephone_number": "407-337-5112",
            "fax_number": "407-337-5113"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5351 Costa Del Sol Dr",
            "address_purpose": "LOCATION",
            "city": "Saint Cloud",
            "state": "FL",
            "postal_code": "347717561",
            "country_code": "US",
            "telephone_number": "954-415-5931",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GATEWAY MEDICAL SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-28",
        "last_updated": "2020-08-16",
        "certification_date": "2020-08-16",
        "status": "A",
        "authorized_official_last_name": "UKEAGU",
        "authorized_official_first_name": "UCHE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-415-5931",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "N/A",
            "affiliation": "N",
            "endpointDescription": "N/A",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5351 Costa Del Sol Dr",
            "city": "Saint Cloud",
            "state": "FL",
            "country_code": "US",
            "postal_code": "347717561",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sheila Garcia
• Megan Garrett
• Gregory M Garrison, MD
• Tyler Garrison
• Gastro Health, LLC
• Jillian Gatz, LMFT
• Michele M Gavin, OWNER
• Nicole Gawron
• Japhet Gaztambide, M.D.
• Stacey Gedeon, APRN

• Durable Medical Equipment & Medical Supplies in Saint Cloud, FL
• Providers in Saint Cloud, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2020; 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.