GATEWAY CHILDREN'S (NPI# 1275900961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275900961 |
| Entity Type | Organization |
| Organization Name | GATEWAY CHILDREN'S |
| Practice Address |
397 Serpentine Dr Ste B Spartanburg SC 29303-3067 |
| Mailing Address |
2153 E Main St Ste C14-321 Duncan SC 29334-8724 |
| Practice Telephone | 8644066041 |
| Practice Fax Number | 8644066042 |
| Mailing Telephone | 8644066041 |
| Mailing Fax Number | 8644330119 |
| Enumeration Date | 2015-08-28 |
| Last Update Date | 2015-08-28 |
| Authorized Official Name | TONYA KNOX-FRAZIER (CEO) |
| Authorized Official Telephone | 8644066041 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 27451 | SC | Allopathic & Osteopathic Physicians |
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
27451 | SC | Allopathic & Osteopathic Physicians |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
27451 | SC | Behavioral Health & Social Service Providers |
| Street Address |
397 SERPENTINE DR STE B |
| City | SPARTANBURG |
| State | SC |
| Zip Code | 29303-3067 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013532126 | Adam Joseph Fulcher | Family Medicine | Center for Family Medicine, 853 N. Church Street, Suite 510, Spartanburg, SC 29303 | 2020-06-15 |
| 1275011652 | Tri-state Medical Supplies, North Grove | Durable Medical Equipment & Medical Supplies | 1330 Boiling Springs Rd Ste 2900, Spartanburg, SC 29303 | 2018-07-30 |
| 1992227151 | Roxanne Pope | Speech-Language Pathologist | 290 N Grove Medical Park Dr., Spartanburg, SC 29303 | 2017-07-10 |
| 1861934879 | Cortney Redmond Mckinney I | Counselor | 250 Dewey Sve., Spartanburg, SC 29303 | 2016-11-08 |
| 1578011474 | Instride Foot and Ankle Specialists, Pllc | Podiatrist | 269 North Grove Medical Drive, Spartanburg, SC 29303 | 2016-09-20 |
| 1023477536 | Whitney Brooke Terry | Physician Assistant | 391 Serpentine Dr Ste 250, Spartanburg, SC 29303 | 2016-02-12 |
| 1306244348 | Medcare Urgent Care Spartanburg, LLC | Clinic/Center | 301 E Wood Street, Spartanburg, SC 29303 | 2014-12-08 |
| 1508201393 | Tom Ju | Anesthesiology | 1330 Boiling Springs Rd Ste 2700, Spartanburg, SC 29303 | 2013-05-07 |
| 1295072312 | Marie O'dell | Registered Nurse | 7 698 Howard Street, Spartanburg School District, Spartanburg, SC 29303 | 2013-01-09 |
| 1518203330 | Sherard Hamilton Ansley | Speech-Language Pathologist | 698 Howard St., Spartanburg School District 7, Spartanburg, SC 29303 | 2012-12-26 |
| Find all providers in zip 29303 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033766233 | Emilie Ford | Counselor | 945 E Main St Ste 5, Spartanburg, SC 29302-2119 | 2019-08-22 |
| 1013495522 | Tina Jennings Okenfuss | Counselor | 604 Adelaide Dr, Spartanburg, SC 29301-3231 | 2018-08-06 |
| 1861934879 | Cortney Redmond Mckinney I | Counselor | 250 Dewey Sve., Spartanburg, SC 29303 | 2016-11-08 |
| 1356751770 | Lindsey Marie Dillon | Counselor | 250 Dewey Ave., Spartanburg, SC 29301 | 2014-05-07 |
| 1114353265 | Karina Robbins | Counselor | 189 N Forest St, Spartanburg, SC 29301-2253 | 2013-09-20 |
| 1053651828 | Jennifer Geddes Hall | Counselor | 101 N Pine St Ste 210, Spartanburg, SC 29302 | 2013-02-15 |
| 1467776526 | Priscilla Parker | Counselor | 750 S Church St, Spartanburg, SC 29306-5348 | 2010-03-18 |
| 1114183605 | Katie Kohler | Counselor | 189 S Converse St, Spartanburg, SC 29306-3243 | 2008-08-04 |
| 1922264589 | Lisa N Williams | Counselor | 405 Mockingbird Ln, Spartanburg, SC 29307-3731 | 2008-08-04 |
| 1215128384 | Tina M Malunay | Counselor | 1060 Boiling Springs Road, Suite 1, Spartanburg, SC 29303-2236 | 2007-08-05 |
| Find all providers in SPARTANBURG | ||||
| City | SPARTANBURG |
| Zip Code | 29303 |
Please comment or provide details below to improve the information on GATEWAY CHILDREN'S.
| 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.