Gateway Nephrology Corp

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

111769 Issued in MO

Legal business name

GATEWAY NEPHROLOGY CORP

Practice address

11125 Dunn Rd
Suite 410
Saint Louis, MO 63136-6132

Phone

(314) 741-4411

NPI assigned

Feb 6, 2009

Organization subpart

No

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

Authorized official

Name

Erik Daniels, M.D.NPI 1437120888

Title

Physisican

Phone

(314) 741-4411

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

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

• Erik D Daniels, MD

  • Nephrology Physician
  • Saint Louis, MO
  • NPI 1437120888

  IL

  Medicare reassignment Authorized official

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

{
    "created_epoch": "1233878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269388800000",
    "number": "1982843439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11125 DUNN RD",
            "address_2": "SUITE 410",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631366132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11125 DUNN RD",
            "address_2": "SUITE 410",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631366132",
            "telephone_number": "314-741-4411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY NEPHROLOGY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-06",
        "last_updated": "2010-03-24",
        "status": "A",
        "authorized_official_last_name": "DANIELS",
        "authorized_official_first_name": "ERIK",
        "authorized_official_title_or_position": "PHYSISICAN",
        "authorized_official_telephone_number": "314-741-4411",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "MO",
            "license": "111769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gateway Hospitalist PC
• Gateway Housing Foundation
• Gateway Iom, LLC
• Gateway Low Vision LLC
• Gateway Mental Wellness (Gateway Life Counseling)
• Gateway Optical Service Inc.
• Gateway Psychiatric Group, LLC
• Gateway Regenerative Medicine, LLC
• Gateway Region Young Men's Christian Association
• Gateway RX LLC (Uvanta Pharmacy - St. Louis)

• Medical Specialty Clinic/Center in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Medical Specialty Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2010; 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.