Active NPI
James C Gatewood, CRNA
- Certified Registered Nurse Anesthetist
- Jefferson City, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 132540
- Practice address
- 1445 Christy Dr
Jefferson City, MO 65101-2853 - Phone
- (573) 636-3483
- Fax
- (573) 636-5315
- NPI assigned
- Oct 21, 2005
- Last updated
- Jul 25, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 132540 | MO | Primary |
Addresses
Primary practice location
1445 Christy Dr
Jefferson City, MO 65101-2853
Mailing address
525 Couch Ave
St. Joe Hospital of Kirkwood/Anesthesia Department
Kirkwood, MO 63122-5536
Phone (573) 636-3483
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8152966027 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1015 Bowles Ave
Fenton, MO 63026-2394
Phone (636) 496-2000
12303 De Paul Dr
Bridgeton, MO 63044-2512
Phone (314) 344-6000
2345 Dougherty Ferry Rd
Saint Louis, MO 63122-3313
Phone (314) 453-0600
300 1St Capitol Dr
Saint Charles, MO 63301-2844
Phone (636) 947-5000
6420 Clayton Rd
Saint Louis, MO 63117-1811
Phone (314) 768-8000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metro-West Anesthesia Group Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Mid-Missouri Anesthesia Consultants PC | Past | Accepting new patients |
Locations
400 S Woods Mill Rd
Ste 140
Chesterfield, MO 63017
Phone (314) 485-1101
2345 Dougherty Ferry Rd
Saint Louis, MO 63122
Phone (314) 821-5850
525 Couch Ave
Saint Louis, MO 63122
Phone (314) 317-9960
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Chesterfield, MO
- NPI 1245427335
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Chesterfield, MO
- NPI 1851254304
-
- Anesthesiology Physician
- Jefferson City, MO
- NPI 1326091059
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba SSM Health Cardinal Glennon Children's Hospital
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1336387836
-
dba SSM Health St. Joseph Hospital - St. Charles
- General Acute Care Hospital
- Saint Charles, MO
- NPI 1467521146
-
dba SSM Health St. Clare Hospital - Fenton
- General Acute Care Hospital
- Fenton, MO
- NPI 1851496152
-
dba SSM Health St. Mary's Hospital - St. Louis
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1962572396
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216944000000",
"number": "1669462628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "525 COUCH AVE",
"address_2": "ST. JOE HOSPITAL OF KIRKWOOD/ANESTHESIA DEPARTMENT",
"city": "KIRKWOOD",
"state": "MO",
"postal_code": "631225536",
"telephone_number": "573-636-3483",
"fax_number": "573-636-7716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1445 CHRISTY DR",
"city": "JEFFERSON CITY",
"state": "MO",
"postal_code": "651012853",
"telephone_number": "573-636-3483",
"fax_number": "573-636-5315"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GATEWOOD",
"first_name": "JAMES",
"middle_name": "C",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-21",
"last_updated": "2008-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MO",
"license": "132540",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8152966027",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jefferson City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2008; 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.