Gateway Program, LLC

Primary specialty

Point of ServiceTaxonomy code 305S00000X

Legal business name

GATEWAY PROGRAM, LLC

Practice address

3117 11 1/2 Ave NW
Rochester, MN 55901-1474

Phone

(507) 244-1303

NPI assigned

Mar 22, 2018

Organization subpart

No

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

Authorized official

Name

Eric John Spagenski, LICSWNPI 1922520998

Title

Ceo

Phone

(507) 244-1303

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Eric John Spagenski, MSW, LICSW

  • Clinical Social Worker
  • Rochester, MN
  • NPI 1922520998
  NPD Authorized official

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

{
    "created_epoch": "1521676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731283200000",
    "number": "1801390950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3117 11 1/2 AVE NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559011474",
            "telephone_number": "507-244-1303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3117 11 1/2 AVE NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559011474",
            "telephone_number": "507-244-1303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY PROGRAM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-22",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A",
        "authorized_official_last_name": "SPAGENSKI",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "507-244-1303",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holger G Gassner, M.D.
• Drew A Gastin
• Alice Ann Gastineau, PT
• Dennis A Gastineau, M.D.
• Lauren Taylor Gates-Tanzer, MD, PHD
• Susannah Mary Gattas, MBBS
• Aidan Gatz
• Cole M Gatzke, APRN, CNP, DNP
• Dana Marie Gatzke, OTR
• Nicholas Vince Gaudet, MD

• Point of Service in Rochester, MN
• Providers in Rochester, MN by specialty
• Point of Service in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2024; 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.