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GATEWAY DIGESTIVE AND LIVER SPECIALISTS LLC NPI 1265566780


NPI Information

NPI: 1265566780
Provider Name: GATEWAY DIGESTIVE AND LIVER SPECIALISTS, LLC
Classification: Internal Medicine - 207RG0100X
Entity Type: Organization

Specialization: Gastroenterology

CLIA Number: 26D2126034

Address:
4510 DELMAR BLVD
SAINT LOUIS, MO
ZIP 63108
Phone: (314) 454-6903
Get Directions

GATEWAY DIGESTIVE AND LIVER SPECIALISTS, LLC is a gastroenterology internal medicine in Saint Louis, MO. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. GATEWAY DIGESTIVE AND LIVER SPECIALISTS, LLC NPI is 1265566780. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4510 DELMAR BLVD
SAINT LOUIS, MO
ZIP 63108-702
Phone: (314) 454-6903
Fax: (314) 454-6652

The provider's authorized official is Rachel A Montemayor .
The authorized official title is Office Manager and has the following contact phone number (314) 454-6903.

The CLIA number assigned to this NPI record is 26D2126034 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/15/2007 and was last updated on 7/8/2016.


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
1207RG0100XInternal MedicineGastroenterology107492MISSOURIYes

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
1208107912MEDICAIDMISSOURI
2000014212MEDICARE PINMISSOURI
3DC2409OTHERMISSOURIRR MEDICARE

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.