GATEWAY CARDIOLOGY PC (NPI# 1043267438) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043267438 |
| Entity Type | Organization |
| Organization Name | GATEWAY CARDIOLOGY PC |
| Practice Address |
10012 Kennerly Road #301 St Louis MO 63128 |
| Mailing Address |
10012 Kennerly Road 301 St Louis MO 63128 |
| Practice Telephone | 3147290088 |
| Practice Fax Number | 3147293974 |
| Mailing Telephone | 3148940787 |
| Mailing Fax Number | 3147293963 |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2009-08-20 |
| Authorized Official Name | MR. GUS A ASSI (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 3148940787 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | MEDICARE | 12159 | 01 |
| IL | MEDICARE | 367460 | 01 |
| MO | GROUP HEALTH PLAN | 39784 | 01 |
| MO | 508677101 | 05 | |
| MO | AETNA | 4479817 | 01 |
| MO | BCBS | 114949 | 01 |
| MO | ESSENCE HEALTHCARE | 12062 | 01 |
| MO | CIGNA PAL REFERRAL | 24111584004 | 01 |
| IL | BCBS | 04232002 | 01 |
| MEDICARE RAILROAD | CI9392 | 01 |
| Street Address |
10012 KENNERLY ROAD #301 |
| City | ST LOUIS |
| State | MO |
| Zip Code | 63128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225000797 | Roy William Morris | Internal Medicine | 10012 Kennerly Road, Suite 100, St Louis, MO 63128 | 2006-02-07 |
| 1144277534 | Bassam Nmi Al-joundi | Internal Medicine | 10012 Kennerly Road, Suite #301, St Louis, MO 63128 | 2006-05-30 |
| 1750338919 | Michael Stephen Logue | Nurse Practitioner | 10012 Kennerly Road, Suite # 301, St Louis, MO 63128 | 2006-05-30 |
| 1255387494 | Tammam Nmi Al-joundi | Internal Medicine | 10012 Kennerly Road, Suite 301, St Louis, MO 63128 | 2006-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235771155 | James T Fetsch Dmd LLC | Dentist | 10004 Kennerly Rd Suite 240, Saint Louis, MO 63128 | 2019-10-11 |
| 1326504655 | Nikodem Dental Holdings | Dentist | 4337 Butler Hill Rd Suite G, St Louis Mo, MO 63128 | 2019-02-12 |
| 1932678505 | Michelle Anne Arvidson | Physical Therapy Assistant | Elite Physical Therapy, 12608 Lamplighter Square Shopping Center, St. Louis, MO 63128 | 2018-11-13 |
| 1245726710 | Kristen Rider | Nurse Practitioner | 9964 Kennerly Rd Ste D, Saint Louis, MO 63128 | 2018-07-07 |
| 1306217427 | Sophia Bednarski | Dentist | 12660 Lamplighter Square Shopping Center, St. Louis, MO 63128 | 2015-10-15 |
| 1427434224 | Darcie Burrus | Counselor | 12523 Old Tesson Rd G, St Louis, MO 63128 | 2015-08-04 |
| 1710368584 | Sara Hawatmeh | Internal Medicine | 12345 W Bend Dr Ste 304, Saint Louis, MO 63128 | 2015-06-17 |
| 1871989590 | Celia Grace Montes-kolence | Speech-Language Pathologist | 12335 W Bend Drive, Saint Louis, MO 63128 | 2015-04-09 |
| 1245629302 | Marius Antonio Evans | Dentist | 9911 Kennerly Rd., Suite G, St. Louis, MO 63128 | 2015-01-13 |
| 1801230313 | Sarah Elizabeth Walsh | Emergency Medicine | 10010 Kennerly Road, Emergency Department, St. Anthony's Medical Center, St. Louis, MO 63128 | 2013-04-26 |
| Find all providers in zip 63128 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| 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. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609923598 | Farhaan A Ahmad | Internal Medicine | 10012 Kennerly Rd Suite 300, St Louis, MO 63128-2197 | 2007-01-04 |
| 1588611305 | Liwa T Younis | Internal Medicine | 10012 Kenerly Road, Suite 301, St Louis, MO 63128 | 2006-05-27 |
| 1932341021 | Patients First Health Care LLC | Internal Medicine | 1011 Bowles Ave, Suite G10, St Louis, MO 63026 | 2009-04-03 |
| 1619987930 | Paul J Hauptman | Internal Medicine | 3635 Vista Ave At Grand Blvd, St Louis, MO 63110 | 2006-08-09 |
| 1326056292 | Bernard R Chaitman | Internal Medicine | 3660 Vista, St Louis, MO 63110 | 2006-08-04 |
| 1235151861 | Michael J Lim | Internal Medicine | 3660 Vista, St Louis, MO 63110 | 2006-07-24 |
| 1144277534 | Bassam Nmi Al-joundi | Internal Medicine | 10012 Kennerly Road, Suite #301, St Louis, MO 63128 | 2006-05-30 |
| 1255387494 | Tammam Nmi Al-joundi | Internal Medicine | 10012 Kennerly Road, Suite 301, St Louis, MO 63128 | 2006-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689128019 | Midwest Heart Institute | Internal Medicine | 1439 Us Highway 61, Ste A, Festus, MO 63028-4153 | 2016-08-15 |
| 1477984292 | Robert A. Brinkman, M.d., LLC. | Internal Medicine | 1040 N Mason Rd Ste 211, Creve Coeur, MO 63141 | 2013-12-04 |
| 1528407822 | Justin Patrick Sheehy | Internal Medicine | 4401 Wornall Rd Fl 9, Kansas City, MO 64111-3220 | 2013-06-19 |
| 1952643520 | Meritas Health Corporation | Internal Medicine | 5501 Nw 62nd Ter Ste 201, Kansas City, MO 64151-2408 | 2013-03-21 |
| 1043557150 | Ronald Nathan Riner | Internal Medicine | 9847 Waterbury Drive, St. Louis, MO 63124 | 2013-01-09 |
| 1427315423 | Paul Larsen | Internal Medicine | 1027 Bellevue Ave Ste 200, Saint Louis, MO 63117-1851 | 2012-04-13 |
| 1275899718 | Bradley Carl Witbrodt | Internal Medicine | 3023 N Ballas Rd Ste 200, Saint Louis, MO 63131-2330 | 2012-04-10 |
| 1194004952 | Jad Raffoul | Internal Medicine | 1402 S Grand Blvd Fl 14, Saint Louis, MO 63104-1004 | 2011-08-11 |
| 1376839894 | Chetan P Huded | Internal Medicine | 5844 Nw Barry Rd Ste 230, Kansas City, MO 64154-1421 | 2011-06-22 |
| 1982999462 | Philip L Mar | Internal Medicine | 3635 Vista Ave Fl 15, Saint Louis, MO 63110-2539 | 2011-06-13 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.