Organization Active NPI

River Gates Nephrology, PC

  • Specialist
  • Helena, MT
National Provider Identifier
1669652087
Registry record updated Jan 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
10181 Issued in MT
Legal business name
RIVER GATES NEPHROLOGY, PC
Practice address
2525 E Broadway St Ste 202a
Helena, MT 59601-8049
Phone
(406) 457-4280
Fax
(406) 457-4278
NPI assigned
Nov 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2013

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

Authorized official

Name
Ms. Gwendolyn A Pincomb, MD
Title
Owner
Phone
(406) 457-4280

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 10181 MT Primary

Addresses

Primary practice location

2525 E Broadway St Ste 202a
Helena, MT 59601-8049

Mailing address

2525 E Broadway St Ste 202a
Helena, MT 59601-8049
Phone (406) 457-4280

Other identifiers 2

IdentifierTypeStateIssuer
000083896OtherMTMEDICARE INDIVIDUAL
0073355MedicaidMT

National Provider Directory

National Provider Directory

Locations

2525 E Broadway St
Ste 202A
Helena, MT 59601
Phone (406) 457-4280

NPI Registry JSON

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

{
    "created_epoch": "1194998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358899200000",
    "number": "1669652087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 E BROADWAY ST STE 202A",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596018049",
            "telephone_number": "406-457-4280",
            "fax_number": "406-457-4278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 E BROADWAY ST STE 202A",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596018049",
            "telephone_number": "406-457-4280",
            "fax_number": "406-457-4278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER GATES NEPHROLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-14",
        "last_updated": "2013-01-23",
        "status": "A",
        "authorized_official_last_name": "PINCOMB",
        "authorized_official_first_name": "GWENDOLYN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-457-4280",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MT",
            "license": "10181",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIVIDUAL",
            "identifier": "000083896",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0073355",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Helena, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2013; 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.