Active NPI
Damon L Gatewood, MD
- Internal Medicine Physician
- Campbellsburg, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 37028
- Practice address
- 58 Citation Lane
Campbellsburg, KY 40011-1426 - Phone
- (502) 532-7341
- Fax
- (502) 532-0127
- NPI assigned
- Mar 7, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 37028 | KY | |
| Internal Medicine Physician | 207R00000X | 37028 | KY | Primary |
Addresses
Primary practice location
58 Citation Lane
Campbellsburg, KY 40011-1426
Mailing address
58 Citation Lane
Campbellsburg, KY 40011-0460
Phone (502) 532-7341
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1165569 | Other | KY | PASSPORT |
| 2439968000 | Other | KY | PASSPORT ADVANTAGE |
| 64051949 | Medicaid | KY | |
| 000000225634 | Other | KY | ANTHEM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Louisville School of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- PT Pros, Inc
Practice addresses (Care Compare)
1019 Commerce Pkwy
La Grange, KY 40031-8779
Phone (502) 225-9098
4031 N Dixie Hwy
Suite 104
Elizabethtown, KY 42701-7873
Phone (270) 982-4776
58 Citation LN
Campbellsburg, KY 40011-7590
Phone (502) 532-7341
Hospital & facility affiliations
- Centerwell Home Health
- Housecall Home Health, LLC Dba Adoration Home Health
- Caretenders
- Baptist Health Lagrange
- Uofl Health - Shelbyville Hospital
- Baptist Health Louisville
- Norton Hospitals, Inc
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37028 | KY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Medical Associates Inc | Current | Accepting new patients | |
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Damon Gatewood MD PLLC | Family Medicine | Current | Accepting new patients |
Locations
58 Citation Ln
Campbellsburg, KY 40011
Phone (502) 532-7341
1019 Commerce Pkwy
Lagrange, KY 40031
Phone (502) 225-9098
3900 Kresge Way
Ste 41
Louisville, KY 40207
Phone (502) 896-1313
Interoperability endpoints
- damon.gatewood.1@15669.direct.athenahealth.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Campbellsburg, KY
- NPI 1962574897
-
- Rural Health Clinic/Center
- Dawson Springs, KY
- NPI 1982178216
-
- Neurology Physician
- Louisville, KY
- NPI 1386872471
Hospital & facility affiliations 20
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Louisville, KY
- NPI 1558394254
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1265539498
-
- General Acute Care Hospital
- La Grange, KY
- NPI 1306925540
-
- Home Health Agency
- Louisville, KY
- NPI 1770767410
-
- Home Health Agency
- Louisville, KY
- NPI 1043268881
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1043348808
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1447388335
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1503014400000",
"number": "1912974171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "58 CITATION LANE",
"city": "CAMPBELLSBURG",
"state": "KY",
"postal_code": "400110460",
"telephone_number": "502-532-7341",
"fax_number": "502-532-0127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "58 CITATION LANE",
"city": "CAMPBELLSBURG",
"state": "KY",
"postal_code": "400111426",
"telephone_number": "502-532-7341",
"fax_number": "502-532-0127"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GATEWOOD",
"first_name": "DAMON",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-07",
"last_updated": "2017-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KY",
"license": "37028",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "KY",
"license": "37028",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT",
"identifier": "1165569",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT ADVANTAGE",
"identifier": "2439968000",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64051949",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000225634",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Campbellsburg, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.