Gateway Internal Medicine And Pediatric Associates Pllc

LBN: Gateway Internal Medicine And Pediatric Associates Pllc
Gateway Internal Medicine And Pediatric Associates Pllc is an health care organization with primary practice located at 103 Commonwealth Drive , Mt Sterling KY 40353-9317. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adolescent Medicine, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Allopathic & Osteopathic Physicians / Adolescent Medicine is the primary health care specialty. Gateway Internal Medicine And Pediatric Associates Pllc can be contacted via phone (859) 498-7716, or through Raper, Donna Lynn via phone (859) 498-7715.

Contact Information

Primary practice address
103 Commonwealth Drive Mt Sterling KY 40353-9317
Phone: (859) 498-7716
Fax: (859) 497-0044
Website:
Map and Directions
Authorized official contact:
Name: Raper, Donna Lynn
Phone: (859) 498-7715

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 207RA0000X
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X

Profile Details

NPI number 1912066085
LBN Legal business name Gateway Internal Medicine And Pediatric Associates Pllc
DBA Doing business as Gateway Internal Medicine And Pediatric Associates Pllc
Authorized official Raper, Donna Lynn
Entity Organization
Organization subpart 1 No
Enumeration date Dec 6th, 2006
Last updated May 25th, 2012 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912066085 NPPES
Kentucky MEDICAID 65934036

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