Gateway Medical Direct LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

GATEWAY MEDICAL DIRECT LLC

Practice address

12094 Country Day Cir
Fort Myers, FL 33913-7620

Phone

(816) 217-3355

NPI assigned

Jan 30, 2013

Organization subpart

No

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

Authorized official

Name

Denise Schoonover

Title

Manager

Phone

(816) 217-3355

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1359504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359504000000",
    "number": "1831437540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12094 COUNTRY DAY CIR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339137620",
            "telephone_number": "816-217-3355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12094 COUNTRY DAY CIR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339137620",
            "telephone_number": "816-217-3355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY MEDICAL DIRECT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-30",
        "last_updated": "2013-01-30",
        "status": "A",
        "authorized_official_last_name": "SCHOONOVER",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "816-217-3355"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Christine Gatens
• Davis Fessenden Gates, M.D.
• Elizabeth Gates, CRNA
• Gateway Community Services Corp
• Gateway Drugs PLLC (Gateway Rx)
• Yumnary Gato Santiesteban
• Elena Gatskevich, M.D.
• Sixtina Gauthier
• Cynthia A Gavilanes
• David Nicholas Gavin, DPM

• Primary Care Clinic/Center in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2013; 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.