Organization Active NPI

Gateway Surgery Center, L.L.C.

  • Ambulatory Surgical Clinic/Center
  • Clinton, IA
National Provider Identifier
1881651206
Registry record updated Mar 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
GATEWAY SURGERY CENTER, L.L.C.
Practice address
841 Springdale Dr
Clinton, IA 52732-3579
Phone
(563) 244-9955
Fax
(563) 243-3461
NPI assigned
Apr 28, 2006
Last updated
Mar 15, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2013

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

Authorized official

Name
Thomas A. Moser
Title
Chief Operating Officer
Phone
(563) 243-2511

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X NU Primary

Addresses

Primary practice location

841 Springdale Dr
Clinton, IA 52732-3579

Mailing address

841 Springdale Dr
Clinton, IA 52732-3579
Phone (563) 244-9955

Other identifiers 2

IdentifierTypeStateIssuer
60010OtherIAWELLMARK BC/GS
0610105MedicaidIA

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363305600000",
    "number": "1881651206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "841 SPRINGDALE DR",
            "city": "CLINTON",
            "state": "IA",
            "postal_code": "527323579",
            "telephone_number": "563-244-9955",
            "fax_number": "563-243-3461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "841 SPRINGDALE DR",
            "city": "CLINTON",
            "state": "IA",
            "postal_code": "527323579",
            "telephone_number": "563-244-9955",
            "fax_number": "563-243-3461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY SURGERY CENTER, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-28",
        "last_updated": "2013-03-15",
        "status": "A",
        "authorized_official_last_name": "MOSER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "563-243-2511"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BC/GS",
            "identifier": "60010",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0610105",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.