Gateway Area Medical Spec

Primary specialty

Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X

Legal business name

GATEWAY AREA MEDICAL SPEC

Practice address

635C Maple Ave
Du Bois, PA 15801-2377

Phone

(814) 371-1771

Fax

(814) 371-4417

NPI assigned

Apr 26, 2006

Last updated

Aug 22, 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

Linda Nowak

Title

Billing Dept

Phone

(814) 371-1771

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Gateway Area Medical PCP2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Gateway Area Medical PCP

  • Pediatrics Physician
  • Du Bois, PA
  • NPI 1104881648
  NPD tax ID

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.

• W. John Siar, MD

  • Neonatal-Perinatal Medicine Physician
  • Du Bois, PA
  • NPI 1639174055
  NPD (past)

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760448716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635C MAPLE AVE",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158012377",
            "telephone_number": "814-371-1771",
            "fax_number": "814-371-4417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635C MAPLE AVE",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158012377",
            "telephone_number": "814-371-1771",
            "fax_number": "814-371-4417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY AREA MEDICAL SPEC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NOWAK",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "BILLING DEPT",
        "authorized_official_telephone_number": "814-371-1771"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010511850004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Edgar Bonchita Gantalao, M.D.
• Elaine J Garred, CRNA
• Sean Patrick Garred, MED LPC CRC
• Brian M Gates, DO
• Gateway Area Medical PCP
• Heather Ann Gausman, MS
• Rachel Sabina Gearhart, PA
• Victoria Geist, LSW
• Jeffrey Allen Genevro, CRNA
• Thomas B Gentilcore, M.D

• Neonatal-Perinatal Medicine Physician in Du Bois, PA
• Providers in Du Bois, PA by specialty
• Neonatal-Perinatal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.