DAVID A. MCGATHA FNP-C NPI 1053660860

NPI Information

  • NPI: 1053660860
  • Provider Name: DAVID A. MCGATHA, FNP-C
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 107 W BROADWAY ST
    EL DORADO SPRINGS, MO
    ZIP 64744
  • Phone: (888) 403-1071

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NPI Details

David A. Mcgatha, FNP-C is a psychiatric/mental health nurse practitioner in El Dorado Springs, MO with 14 years of experience. David A. Mcgatha, FNP-C NPI is 1053660860. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

107 W BROADWAY ST
EL DORADO SPRINGS, MO
ZIP 64744-133
Phone: (888) 403-1071

The NPI 1053660860 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/7/2012 and was last updated on 5/21/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163W00000XRegistered Nurse126766MISSOURINo
2363LF0000XNurse PractitionerFamily2012029889MISSOURINo
3363LP0808XNurse PractitionerPsychiatric/Mental Health2012029889MISSOURIYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11053660860MEDICAIDMISSOURI
2431560263OTHERMISSOURITRICARE
3P01213219OTHERMISSOURIRR MCR

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: 11/21/2025

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