Active NPI
Gateway Medical Group, Inc
- Internal Medicine Physician
- Carnegie, PA
National Provider Identifier
1811936255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- GATEWAY MEDICAL GROUP, INC
- Practice address
- 1100 Washington Ave
Ste 115
Carnegie, PA 15106-3614 - Phone
- (412) 279-8940
- Fax
- (412) 279-8871
- NPI assigned
- Jun 4, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rose Sacco
- Title
- Manager
- Phone
- (412) 279-8940
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
1100 Washington Ave
Ste 115
Carnegie, PA 15106-3614
Mailing address
1100 Washington Ave
Ste 115
Carnegie, PA 15106-3614
Phone (412) 279-8940
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001536865003 | Medicaid | PA | |
| 0009406960003 | Medicaid | PA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Carnegie, PA
- NPI 1346246485
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149379200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1811936255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 WASHINGTON AVE",
"address_2": "STE 115",
"city": "CARNEGIE",
"state": "PA",
"postal_code": "151063614",
"telephone_number": "412-279-8940",
"fax_number": "412-279-8871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 WASHINGTON AVE",
"address_2": "STE 115",
"city": "CARNEGIE",
"state": "PA",
"postal_code": "151063614",
"telephone_number": "412-279-8940",
"fax_number": "412-279-8871"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GATEWAY MEDICAL GROUP, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-04",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "SACCO",
"authorized_official_first_name": "ROSE",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "412-279-8940"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001536865003",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0009406960003",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Carnegie, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.