Active NPI
Gateway Anesthesia PLLC
- Certified Registered Nurse Anesthetist
- Allen, TX
National Provider Identifier
1871109553
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- Legal business name
- GATEWAY ANESTHESIA PLLC
- Practice address
- 416 Woodlake Dr
Allen, TX 75013-3436 - Phone
- (214) 390-7697
- Fax
- (888) 770-6360
- NPI assigned
- Sep 18, 2020
- 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
- Vudhi V Slabisak
- Title
- Admin
- Phone
- (214) 390-7697
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | Primary |
Addresses
Primary practice location
416 Woodlake Dr
Allen, TX 75013-3436
Mailing address
960 Ridgeview Drive
Ste 140 PMB 198
Allen, TX 75013
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600387200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1600387200000",
"number": "1871109553",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "960 RIDGEVIEW DRIVE",
"address_2": "STE 140 PMB 198",
"city": "ALLEN",
"state": "TX",
"postal_code": "75013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "416 WOODLAKE DR",
"city": "ALLEN",
"state": "TX",
"postal_code": "750133436",
"telephone_number": "214-390-7697",
"fax_number": "888-770-6360"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GATEWAY ANESTHESIA PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-09-18",
"last_updated": "2020-09-18",
"certification_date": "2020-09-18",
"status": "A",
"authorized_official_last_name": "SLABISAK",
"authorized_official_first_name": "VUDHI",
"authorized_official_middle_name": "V",
"authorized_official_title_or_position": "ADMIN",
"authorized_official_telephone_number": "214-390-7697"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Nurse Anesthetist, Certified Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Allen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.