GATEWAY MEDICAL CLINICS, LLC (NPI# 1902098734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1902098734 |
Entity Type | Organization |
Organization Name | GATEWAY MEDICAL CLINICS, LLC |
Practice Address |
11497 Springfield Pike Ste 5 Springdale OH 45246-3551 |
Practice Telephone | 5133262040 |
Mailing Telephone | 5133262040 |
Enumeration Date | 2007-08-15 |
Last Update Date | 2013-07-25 |
Authorized Official Name | WAHEED ADEWUMI (OWNER) |
Authorized Official Telephone | 5133262040 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
35-083640 | OH | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | MEDICAL MUTUAL | 213311832006 | 01 |
OH | 2496375 | 05 | |
OH | AETNA | 7101685 | 01 |
OH | ANTHEM | 000000371883 | 01 |
OH | MEDICARE RR | P00277464 | 01 |
Street Address |
11497 SPRINGFIELD PIKE STE 5 |
City | SPRINGDALE |
State | OH |
Zip Code | 45246-3551 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730721101 | Tawana Julius | Student in an Organized Health Care Education/Training Program | 11497 Springfield Pike Ste 5, Springdale, OH 45246-3551 | 2019-10-17 |
1811303811 | Cincinnati Advanced Wound Care Physicians, LLC | Internal Medicine | 11497 Springfield Pike Ste 5, Springdale, OH 45246-3551 | 2014-07-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033766241 | Stephanie Ann Hayes | Counselor | 42 East Crescentville Drive, Cincinnati, OH 45246 | 2019-08-22 |
1689228132 | Jessica D Mandich | Social Worker | 415 Glensprings Drive Suite 201, Cincinnati, OH 45246 | 2019-08-01 |
1649832338 | Combine Home Care | Home Health | 260 Northland Blvd Ste 234, Cincinnati, OH 45246 | 2019-07-02 |
1215593488 | Premier Care of Ohio, LLC. | Clinic/Center | 42 E Crescentville Road, Cincinnati, OH 45246 | 2019-05-14 |
1295205276 | Emmanuel Bio Antwi | Adult Companion | 230 Northland Blvd Suite 112, Cincinnati, OH 45246 | 2018-12-03 |
1225567506 | Rebecca J Travis | Case Manager/Care Coordinator | 11590 Century Blvd Suite 116, Cincinnati, OH 45246 | 2017-06-08 |
1245770320 | Tiffany Burton | Behavior Technician | 11789 Rose Lane, Cincinnati, OH 45246 | 2017-03-08 |
1306207964 | Adriana Harris | Home Health Aide | 270 Northland Blvd Ste 112, Springdale, OH 45246 | 2016-03-10 |
1891124251 | Leslie Ann Cooper | Social Worker | 316 Cleveland Avenue, Cincinnati, OH 45246 | 2013-11-06 |
1144564071 | Premier Care of Ohio, Inc. | Community/Behavioral Health | 42 E. Crescentville Road, West Chester, OH 45246 | 2012-11-15 |
Find all providers in zip 45246 |
Taxonomy Code | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487120788 | Ourhealth Physician Group, LLC | Clinic/Center | 11568 Springfield Pike, Springdale, OH 45246-3527 | 2018-10-15 |
1538345830 | Resort Medical Services, P.C. | Clinic/Center | 120 Lion Blvd, Springdale, UT 84767-0248 | 2008-01-16 |
1558476564 | Chirolink Inc. | Clinic/Center | 2111 S Old Missouri Rd Ste E, Springdale, AR 72764-8748 | 2006-08-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104426279 | Next Direct | Clinic/Center | 8250 Kenwood Crossing Way Ste 201, Cincinnati, OH 45236-3669 | 2020-10-28 |
1013520014 | Chrysalis Health and Wellness | Clinic/Center | 1005 E State St Ste E, Athens, OH 45701-2151 | 2020-08-28 |
1811507668 | Priority Medical Family Practice, LLC | Clinic/Center | 1128 Linden Ave, Zanesville, OH 43701-2908 | 2020-08-06 |
1932727849 | Muskingum Valley Health Centers | Clinic/Center | 915 Putnam Ave, Zanesville, OH 43701-5547 | 2020-07-07 |
1790309284 | Emerika Mobile Health LLC | Clinic/Center | 28 Park Ave W Ste 701, Mansfield, OH 44902-1640 | 2020-06-01 |
1477175768 | Virtue Wellness, LLC | Clinic/Center | 7660 Silver Fox Dr, Columbus, OH 43235-1835 | 2020-05-11 |
1629615364 | Ironton & Lawrence County Area Community Action Organization | Clinic/Center | 2325 C, County Rd 26, Ironton, OH 45638 | 2019-12-02 |
1750926317 | Neuroradiance Integrative Health Initiative, Ltd | Clinic/Center | 110 Polaris Pkwy Ste 120, Westerville, OH 43082-8028 | 2019-11-07 |
1033754569 | Integrative Medicine & Virtualcare Plus LLC | Clinic/Center | 5212a Kings Mills Rd # 529, Mason, OH 45040-2319 | 2019-11-07 |
1912558669 | Careatc | Clinic/Center | 132 Artino St Ste 14, Oberlin, OH 44074-1206 | 2019-09-24 |
Find all providers with the same taxonomy |
City | SPRINGDALE |
Zip Code | 45246 |
Please comment or provide details below to improve the information on GATEWAY MEDICAL CLINICS, LLC.
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.