GATEWAY PATHOLOGY ASSOC (NPI# 1457407124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457407124 |
| Entity Type | Organization |
| Organization Name | GATEWAY PATHOLOGY ASSOC |
| Practice Address |
1410 N 4th Street Clinton IA 52732 |
| Mailing Address |
Po Box 0361 Clinton IA 52733-0361 |
| Practice Telephone | 5632425316 |
| Practice Fax Number | 5632423128 |
| Mailing Telephone | 5632425316 |
| Mailing Fax Number | 5632423128 |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2007-11-06 |
| Authorized Official Name | ELPIDIO G MARIANO (MANAGING PARTNER) |
| Authorized Official Telephone | 5632425316 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0105X |
Pathology Specialization: Clinical Pathology/Laboratory Medicine |
21940 | IA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0477950 | 05 | |
| IA | BC BS | 31964 | 01 |
| RR MEDICARE | DC6462 | 01 |
| Street Address |
1410 N 4TH STREET |
| City | CLINTON |
| State | IA |
| Zip Code | 52732 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639212806 | Mercy Family Pharmacy | Pharmacy | 1410 N 4th Street, Mercy Medical Center Clinton, Clinton, IA 52732 | 2007-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891343240 | Janet R Graf | Technician | 450 South 19th St., Clinton, IA 52732 | 2019-08-29 |
| 1346807443 | Karen Daniels | Nurse Practitioner | 2701 Frienship Trl, Apt 1001, Clinton, IA 52732 | 2019-05-23 |
| 1053835256 | Linda Karina Garcia | Physician Assistant | 1410 N Fourth St, Clinton, IA 52732 | 2017-07-29 |
| 1821528423 | Tricia Lee Grimes | Technician | 2349 Dunham St, Clinton, IA 52732 | 2017-06-15 |
| 1750822425 | Danielle Judd | Skilled Nursing Facility | 2220 N 5th St, Clinton, IA 52732 | 2017-03-15 |
| 1689047185 | Connell Family Chiropractic Pllc | Chiropractor | 1485 Main Avenue, Clinton, IA 52732 | 2015-11-05 |
| 1942619713 | Reese Raymond Petersen | Chiropractor | 2319 S 19th St, Clinton, IA 52732 | 2014-08-06 |
| 1487942298 | Wagner Pharmacy Company | Pharmacy | 1726 N. 2nd Street, Clinton, IA 52732 | 2011-07-13 |
| 1275829921 | Rebecca Plante | Pharmacist | 1309 N 2nd Street, Clinton, IA 52732 | 2011-06-21 |
| 1639318363 | Ryan P Connell | Chiropractor | 1437 Main Ave, Clinton, IA 52732 | 2009-02-19 |
| Find all providers in zip 52732 | ||||
| Taxonomy Code | 207ZP0105X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Clinical Pathology/Laboratory Medicine |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pathology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740260645 | Elpidio G Mariano | Pathology | 1410 N 4 Street, Clinton, IA 52732 | 2006-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538795240 | Stephany Amanda Cochran | Pathology | 930 Maple St, North Liberty, IA 52317-9085 | 2020-03-14 |
| 1700888476 | Opas Anothayanontha | Pathology | 2213 Grand Ave, Des Moines, IA 50312-5305 | 2005-08-12 |
| 1366640583 | James Vincent Hartel | Pathology | 3421 W 9th St, Waterloo, IA 50702-5401 | 2007-07-10 |
| 1124112719 | James Stacey Klutts | Pathology | 500 Newton Rd, Dept of Pathology, Room 137 Mrc, Univ. of Iowa Com, Iowa City, IA 52242 | 2006-10-03 |
| 1407870058 | Cedar Valley Pathologists PC | Pathology | 1026 A Ave Ne, Cedar Rapids, IA 52402-5036 | 2006-07-27 |
| 1548228448 | Clinical Pathology Associates, PC | Pathology | 3421 W 9th St, Waterloo, IA 50702-5401 | 2006-05-02 |
| 1316913684 | Roger C Lindo | Pathology | 1026 A Ave Ne, Cedar Rapids, IA 52402-5036 | 2006-02-27 |
| 1295701464 | Ruth A Macke | Pathology | 1026 A Ave Ne, Cedar Rapids, IA 52402-5036 | 2006-02-27 |
| 1417931072 | Mitchel D Bauman | Pathology | 801 5th St, Sioux City, IA 51101-1394 | 2005-12-06 |
| 1558345124 | Roger A Gunn | Pathology | 801 5th St, Sioux City, IA 51101-1394 | 2005-12-06 |
| 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.