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GATEWAY CARDIOLOGY PC NPI 1043267438


NPI Information

NPI: 1043267438
Provider Name: GATEWAY CARDIOLOGY PC
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

CLIA Number: 26D0994386

Address:
10004 KENNERLY RD STE 185B
SAINT LOUIS, MO
ZIP 63128
Phone: (314) 729-0088
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GATEWAY CARDIOLOGY PC is a cardiovascular disease internal medicine in Saint Louis, MO. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. GATEWAY CARDIOLOGY PC NPI is 1043267438. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

10004 KENNERLY RD STE 185B
SAINT LOUIS, MO
ZIP 63128-176
Phone: (314) 729-0088
Fax: (314) 729-3974

The provider's authorized official is Ghassan A Assi .
The authorized official title is Practice Administrator and has the following contact phone number (314) 729-0088.

The CLIA number assigned to this NPI record is 26D0994386 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/30/2006 and was last updated on 1/15/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RC0000XInternal MedicineCardiovascular DiseaseYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
112062OTHERMISSOURIESSENCE HEALTHCARE
224111584004OTHERMISSOURICIGNA PAL REFERRAL
339784OTHERMISSOURIGROUP HEALTH PLAN
4CI9392OTHERMEDICARE RAILROAD
54479817OTHERMISSOURIAETNA
6367460OTHERILLINOISMEDICARE
712159OTHERMISSOURIMEDICARE
804232002OTHERILLINOISBCBS
9508677101MEDICAIDMISSOURI
10114949OTHERMISSOURIBCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.