GATEWAY DIRECT PRIMARY CARE JV LLC


Address: 1574 Woodlake Dr, Chesterfield, MO 63017-5712
Phone: 8668086005

GATEWAY DIRECT PRIMARY CARE JV LLC (NPI# 1154970127) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154970127
Entity Type Organization
Organization Name GATEWAY DIRECT PRIMARY CARE JV LLC
Practice Address 1574 Woodlake Dr
Chesterfield
MO 63017-5712
Mailing Address 1400 Wewatta St Ste 350
Denver
CO 80202-5553
Practice Telephone 8668086005
Enumeration Date 2019-09-11
Last Update Date 2019-10-08
Authorized Official Name VICTORIA TAFOYA (VICE PRESIDENT)
Authorized Official Telephone 3038772468
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine Allopathic & Osteopathic Physicians

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1548893530 Gateway Direct Primary Care Jv LLC Clinic/Center 1015 Corporate Square Dr Ste 101, Saint Louis, MO 63132-2938 2020-02-18

Office Location

Street Address 1574 WOODLAKE DR
City CHESTERFIELD
State MO
Zip Code 63017-5712

Providers in the same location

NPI Name Taxonomy Address Enumeration
1629143219 John Patrick Stein Family Medicine 1574 Woodlake Dr, Chesterfield, MO 63017-5712 2006-11-21
1780759290 West County Family Care PC Family Medicine 1574 Woodlake Dr, Chesterfield, MO 63017-5712 2006-11-21

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1114549193 Kathryn E Bos Student in an Organized Health Care Education/Training Program 873 Apt N Foxsprings Dr, Chesterfield, MO 63017 2020-05-12
1700415171 Charles H. Edwards Physical Therapist 224 South Woods Millrd., Suite 610 South, Chesterfield, MO 63017 2020-04-07
1003454562 Stephanie Henningsen Physical Therapy Assistant 307 S Woods Rd, Chesterfield, MO 63017 2019-12-16
1831746296 Star Lynn Sutton Occupational Therapy Assistant 15207 Olive Boulevard, Chesterfield, MO 63017 2019-08-21
1639738438 Van Amburg & Busiek Md's, LLC Pharmacy 232 S Woodsmill Road, Suite 330 East, Chesterfield, MO 63017 2019-06-06
1306306865 Margaret Mary Wynn Nurse Practitioner 15740 South Outer Road, Chesterfield, MO 63017 2019-03-21
1205393089 Kimberly Danielle Nurse Practitioner 744 Forest Trace Dr, Chesterfield, MO 63017 2019-02-27
1457823965 Allison Joy Mcgrail Dietitian, Registered 45740 S Outer Forty Rd, Chesterfield, MO 63017 2018-12-21
1316418080 Julie Lefere Social Worker Mercy Virtual Care Center, 15740 S Outer 40 Rd, Chesterfield, MO 63017 2018-12-06
1336629641 Catherine Dolphin Smith Nurse Practitioner 224 S Woods Mill Rd Ste 500, Chesterfield, MO 63017 2018-08-16
Find all providers in zip 63017

Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1134756802 Jennifer Nicole Clarke Family Medicine 8719 Corcoran Pl, Chesterfield, VA 23832-7463 2020-03-24
1467002717 E Carter Enterprises Family Medicine 13506 Blue Heron Cir, Chesterfield, VA 23838-3258 2019-09-18
1205337417 Vitalcare Family LLC Family Medicine 7300 Ashlake Parkway, Chesterfield, VA 23832 2018-02-22
1013368455 Meghan Henningsen Family Medicine 17417 Chesterfield Airport Rd, Chesterfield, MO 63005-1308 2016-06-27
1831543826 Leslie Noel Chanasue Family Medicine 17701 Edison Ave Ste 101, Chesterfield, MO 63005 2016-04-16
1497138663 Rachel Vanessa Sachs Family Medicine 121 Saint Lukes Center Dr Ste 302, Chesterfield, MO 63017-3519 2015-07-07
1013273960 Katherine Mary Marston Family Medicine 32901 23 Mile Road Suite 100, Chesterfield, MI 48047-4032 2012-04-04
1790018315 Bayside Family Medicine Chesterfield PC Family Medicine 31225 23 Mile Rd, Chesterfield, MI 48047-1848 2009-09-14
1316115603 Jeffery Allen Stynowick Family Medicine 130 Chippenham Ln, Chesterfield, MO 63005-6817 2008-02-20
1952582348 Tu-van Tran Family Medicine 8407 Pullman Ln, Chesterfield, VA 23832-2076 2007-11-14
Find all providers in CHESTERFIELD

Competitor

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City CHESTERFIELD
Zip Code 63017

Improve Information

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Dataset Information

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.

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