Gateway Medical Clinics, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

35-083640 Issued in OH

Legal business name

GATEWAY MEDICAL CLINICS, LLC

Practice address

11497 Springfield Pike Ste 5
Springdale, OH 45246-3551

Phone

(513) 326-2040

NPI assigned

Aug 15, 2007

Last updated

Jul 25, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Waheed Adewumi, M.D.NPI 1033173273

Title

Owner

Phone

(513) 326-2040

Specialties & licenses 1

Addresses

Other identifiers 5

Locations

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.

• Cincinnati Advanced Wound Care Physicians, LLC

  • Wound Care Registered Nurse
  • Springdale, OH
  • NPI 1811303811
  NPPES parent name

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.

• Waheed Adewumi, M.D.

  • Internal Medicine Physician
  • Mason, OH
  • NPI 1033173273
  Authorized official Same address or phone

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

{
    "created_epoch": "1187136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374710400000",
    "number": "1902098734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11497 SPRINGFIELD PIKE STE 5",
            "city": "SPRINGDALE",
            "state": "OH",
            "postal_code": "452463551",
            "telephone_number": "513-326-2040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11497 SPRINGFIELD PIKE STE 5",
            "city": "SPRINGDALE",
            "state": "OH",
            "postal_code": "452463551",
            "telephone_number": "513-326-2040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY MEDICAL CLINICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-15",
        "last_updated": "2013-07-25",
        "status": "A",
        "authorized_official_last_name": "ADEWUMI",
        "authorized_official_first_name": "WAHEED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-326-2040",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "OH",
            "license": "35-083640",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7101685",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL MUTUAL",
            "identifier": "213311832006",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000371883",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "P00277464",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2496375",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Clinic/Center in Springdale, OH
• Providers in Springdale, OH by specialty
• Primary Care Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.