GATEWAY SURGERY CENTER LLC NPI 1871804815

NPI Details

GATEWAY SURGERY CENTER LLC is an ambulatory surgical clinic center in Edwardsville, PA. GATEWAY SURGERY CENTER LLC NPI is 1871804815. The provider is registered as an organization entity type.

The provider's business location address is:

494 NORTHAMPTON ST
SUITE 2
EDWARDSVILLE, PA
ZIP 18704-551
Phone: (570) 718-6692
Fax: (570) 718-6696

The provider's authorized official is Jonathan Bailey .
The authorized official title is Officer/ao and has the following contact phone number (203) 609-1168.

The CLIA number assigned to this NPI record is 39D1067509 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Removal of polyps or growths of large bowel using an endoscope with mechanical snare (HCPCS:45385)
• Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43239)
• Biopsy of large bowel using a flexible endoscope (HCPCS:45380)
• Colorectal cancer screening; colonoscopy on individual at high risk (HCPCS:G0105)
• Insertion of guide wire with dilation of esophagus using a flexible endoscope (HCPCS:43248)
• Diagnostic exam of large bowel using a flexible endoscope (HCPCS:45378)
• Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43235)
• Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk (HCPCS:G0121)
• Removal of large bowel tissue using a flexible endoscope (HCPCS:45390)
• Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery (HCPCS:45384)
• Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm (HCPCS:43249)
• Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope with mechanical snare (HCPCS:43251)
• Injection beneath lining of large bowel using a flexible endoscope (HCPCS:45381)
• Destruction of polyp or growth of large bowel using a flexible endoscope (HCPCS:45388)
• Control of bleeding of upper large bowel using a flexible endoscope (HCPCS:45382)

The enumeration date for this NPI number is 6/24/2010 and was last updated on 9/12/2025.

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: