NPIMap

Organization Active NPI

Gateway Spine, LLC

  • Orthopaedic Surgery Physician
  • Saint Louis, MO
National Provider Identifier
1952372096
Registry record updated Apr 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
2003007554 Issued in MO
Legal business name
GATEWAY SPINE, LLC
Practice address
3009 N Ballas Rd
Suite 131 a
Saint Louis, MO 63131-2322
Phone
(314) 993-6170
Fax
(314) 993-6169
NPI assigned
Jan 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2009

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

Authorized official

Name
Tom Reinsel, MDNPI 1508837634
Title
Owner
Phone
(314) 909-9669

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X 2003007554 MO Primary

Addresses

Primary practice location

3009 N Ballas Rd
Suite 131 a
Saint Louis, MO 63131-2322

Mailing address

PO Box 31698
Saint Louis, MO 63131-0698
Phone (314) 989-0300

National Provider Directory

National Provider Directory

Locations

12161 Manchester Rd
Ste 200
Saint Louis, MO 63131
Phone (314) 909-9669

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240963200000",
    "number": "1952372096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31698",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631310698",
            "telephone_number": "314-989-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3009 N BALLAS RD",
            "address_2": "SUITE 131 A",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631312322",
            "telephone_number": "314-993-6170",
            "fax_number": "314-993-6169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY SPINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-27",
        "last_updated": "2009-04-29",
        "status": "A",
        "authorized_official_last_name": "REINSEL",
        "authorized_official_first_name": "TOM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-909-9669",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "MO",
            "license": "2003007554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2009; 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.