Gateway Health Care Inc

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MDR 3819 Issued in MO

Legal business name

GATEWAY HEALTH CARE INC

Practice address

7428 Ethel Ave
Saint Louis, MO 63117-1608

Phone

(314) 567-0560

Fax

(314) 989-1336

NPI assigned

Nov 12, 2007

Organization subpart

No

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

Authorized official

Name

Dr. William Wright Clendenin, M.D.NPI 1083791875

Title

President

Phone

(314) 567-0560

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

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.

• William Wright Clendenin, MD

  • Psychiatry Physician
  • Saint Louis, MO
  • NPI 1083791875
  Authorized official Same address or phone
• Baolin Fan, MD

  • Internal Medicine Physician
  • Saint Louis, MO
  • NPI 1568568897
  NPD (past)
• Gerald M Baltz, DNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Los Angeles, CA
  • NPI 1427290030
  NPD (past)

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

{
    "created_epoch": "1194825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202428800000",
    "number": "1700066370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7428 ETHEL AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631171608",
            "telephone_number": "314-567-0560",
            "fax_number": "314-989-1336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7428 ETHEL AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631171608",
            "telephone_number": "314-567-0560",
            "fax_number": "314-989-1336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-12",
        "last_updated": "2008-02-08",
        "status": "A",
        "authorized_official_last_name": "CLENDENIN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "WRIGHT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-567-0560",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": "MDR 3819",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "21842",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gateway Foundation, Inc. (GFI Services. Inc.)
• Gateway Foundation, Inc. (GFI Services, Inc.)
• Gateway Foundation, Inc. (GFI Services)
• Gateway Geriatric Services LLC
• Gateway Givers LLC
• Gateway Health Medical Group PC
• Gateway Home Health Care LLC
• Gateway Hospitalist PC
• Gateway Housing Foundation
• Gateway Iom, LLC

• Psychiatry Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Psychiatry Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2008; 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.