Damon Gatewood MD PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

37028 Issued in KY

Legal business name

DAMON GATEWOOD MD PLLC

Practice address

58 Citation Lane
Campbellsburg, KY 40011-1426

Phone

(502) 532-7341

Fax

(502) 532-0127

NPI assigned

Nov 15, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Damon L Gatewood, MDNPI 1912974171

Title

Owner

Phone

(502) 532-7341

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• Kentucky River Medical Partners Doing business as

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Practitioners 2

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

• Damon L Gatewood, MD

  • Internal Medicine Physician
  • Campbellsburg, KY
  • NPI 1912974171

  Family Medicine

  Medicare reassignment Care Compare group NPD Authorized official
• Lori P Abney, ARNP

  • Nurse Practitioner
  • Campbellsburg, KY
  • NPI 1053654509

  Family

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401926400000",
    "number": "1962574897",
    "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": "400111426",
            "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": {
        "organization_name": "DAMON GATEWOOD MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2014-06-05",
        "status": "A",
        "authorized_official_last_name": "GATEWOOD",
        "authorized_official_first_name": "DAMON",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-532-7341",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "37028",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3007904",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT HEALTH PLAN",
            "identifier": "50003253",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100282440",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100268000",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kentucky River Medical Partners",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ann Nesmith DMD 2 PLLC
• Bluegrass Drug Center Inc
• Campbellsburg Chiropractic, PSC
• Jerry Wayne Caudill, D.M.D.
• Cooks Pharmacy Inc
• Brent Michael Dawson, DC
• Dr. Molly Doerr OD PSC
• David L Embry, D.M.D.
• Damon L Gatewood, MD
• Katherine Gonterman

• Family Medicine Physician in Campbellsburg, KY
• Providers in Campbellsburg, KY by specialty
• Family Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.