Organization Active NPI

Gateway Cardiovascular LLC

  • Cardiovascular Specialist/Technologist
  • Farmington, MO
National Provider Identifier
1770102907
Registry record updated Feb 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Specialist/TechnologistTaxonomy code 246X00000X
Legal business name
GATEWAY CARDIOVASCULAR LLC
Practice address
507 W Pine St
Farmington, MO 63640-1439
Phone
(573) 631-0994
NPI assigned
Apr 8, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2021

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

Authorized official

Name
Stephen WJ Orr, DCNPI 1770577421
Title
President
Phone
(573) 701-4213

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Specialist/TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 246X00000X Primary

Addresses

Primary practice location

507 W Pine St
Farmington, MO 63640-1439

Mailing address

507 W Pine St
Farmington, MO 63640-1439
Phone (573) 631-0994

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1586304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612483200000",
    "number": "1770102907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 W PINE ST",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636401439",
            "telephone_number": "573-631-0994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 W PINE ST",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636401439",
            "telephone_number": "573-631-0994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY CARDIOVASCULAR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-08",
        "last_updated": "2021-02-05",
        "certification_date": "2021-02-05",
        "status": "A",
        "authorized_official_last_name": "ORR",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "WJ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "573-701-4213",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "246X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist Cardiovascular",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2021; 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.