Active NPI
Gateway Healthcare
- General Practice Physician
- Midland, MI
National Provider Identifier
1508519414
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- GATEWAY HEALTHCARE
- Practice address
- 1549 Washington St
Midland, MI 48640-5685 - Phone
- (989) 259-1000
- Fax
- (989) 402-0097
- NPI assigned
- Jan 31, 2022
- 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
- James Mier
- Title
- Clinic Director
- Phone
- (989) 259-1000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
1549 Washington St
Midland, MI 48640-5685
Mailing address
1549 Washington St
Midland, MI 48640-5685
Phone (989) 259-1000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D2251885 | Gateway Healthcare | Certificate of waiver | Feb 6, 2028 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Essexville, MI
- NPI 1851584494
-
- Family Nurse Practitioner
- Midland, MI
- NPI 1528773991
-
- Nurse Practitioner
- Bay City, MI
- NPI 1114746690
-
- Family Nurse Practitioner
- Midland, MI
- NPI 1700623238
-
- Physician Assistant
- Essexville, MI
- NPI 1194758920
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643587200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1695772800000",
"number": "1508519414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1549 WASHINGTON ST",
"city": "MIDLAND",
"state": "MI",
"postal_code": "486405685",
"telephone_number": "989-259-1000",
"fax_number": "989-402-0097"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1549 WASHINGTON ST",
"city": "MIDLAND",
"state": "MI",
"postal_code": "486405685",
"telephone_number": "989-259-1000",
"fax_number": "989-402-0097"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GATEWAY HEALTHCARE",
"organizational_subpart": "NO",
"enumeration_date": "2022-01-31",
"last_updated": "2023-09-27",
"certification_date": "2023-09-27",
"status": "A",
"authorized_official_last_name": "MIER",
"authorized_official_first_name": "JAMES",
"authorized_official_title_or_position": "CLINIC DIRECTOR",
"authorized_official_telephone_number": "989-259-1000"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Midland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.