Gateway Monitoring Specialities, LLC

Primary specialty

Electrodiagnostic Medicine PhysicianTaxonomy code 204R00000X

Legal business name

GATEWAY MONITORING SPECIALITIES, LLC

Practice address

9521 Riverside Pkwy
#338
Tulsa, OK 74137-7418

Phone

(918) 895-7680

NPI assigned

Jun 7, 2016

Organization subpart

No

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

Authorized official

Name

Trase Mahan

Title

Manager

Phone

(214) 675-0905

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1465257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465257600000",
    "number": "1992154314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 268977",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731268977",
            "telephone_number": "918-895-7680",
            "fax_number": "214-317-4888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9521 RIVERSIDE PKWY",
            "address_2": "#338",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741377418",
            "telephone_number": "918-895-7680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY MONITORING SPECIALITIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-07",
        "last_updated": "2016-06-07",
        "status": "A",
        "authorized_official_last_name": "MAHAN",
        "authorized_official_first_name": "TRASE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "214-675-0905"
    },
    "taxonomies": [
        {
            "code": "204R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Electrodiagnostic Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "LC0014886887",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jerry Allan Gates, LPC, LMFT
• Gatesway Foundation
• Gatesway Foundation Inc
• Gatesway Foundation Inc
• Gatesway Foundation Inc.
• Jerry L Gatson Jr., PHARMD
• Noel E Gattenby, D.O.
• Adrienne Gatzemeyer
• Meredith Lowe Gatzemeyer, AUD
• Kevin Douglas Gauger

• Electrodiagnostic Medicine Physician in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Electrodiagnostic Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2016; 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.