GATEWAY ENDOSCOPY CENTER LP NPI 1396063673

NPI Information

  • NPI: 1396063673
  • Provider Name: GATEWAY ENDOSCOPY CENTER, LP
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Doing Business As: GATEWAY ENDOSCOPY CENTER
  • CLIA Number: 26D1053593
  • Address: 12855 N 40 DR
    STE 150
    SAINT LOUIS, MO
    ZIP 63141
  • Phone: (314) 336-1130

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NPI Details

GATEWAY ENDOSCOPY CENTER, LP is an ambulatory surgical clinic center in Saint Louis, MO. GATEWAY ENDOSCOPY CENTER, LP NPI is 1396063673. The provider is registered as an organization entity type.
The provider Is Doing Business As Gateway Endoscopy Center.

The provider's business location address is:

12855 N 40 DR
STE 150
SAINT LOUIS, MO
ZIP 63141-657
Phone: (314) 336-1130
Fax: (314) 336-1136

The provider's authorized official is Katherine L Reed .
The authorized official title is Medicare Authorized Official and has the following contact phone number (972) 763-3859.

The CLIA number assigned to this NPI record is 26D1053593 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/11/2010 and was last updated on 6/3/2015.

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
1261QA1903XClinic/CenterAmbulatory Surgical234-0MISSOURIYes

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
126C0001116MEDICARE OSCAR/CERTIFICATIONMISSOURI
2P00984819OTHERMISSOURIRAILROAD MEDICARE
3MA2622MEDICARE PINMISSOURI

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: 3/30/2025

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