NPI 1912066085 · live from the CMS NPI Registry
Gateway Internal Medicine And Pediatric Associates PLLC
Internal Medicine, Adolescent Medicine in Mt Sterling, KY. National Provider Identifier 1912066085, active.
NPI record
| NPI | 1912066085 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Adolescent Medicine 207RA0000X |
| Practice location | 103 Commonwealth Drive, Mt Sterling, KY 40353 |
| Practice phone | 859-498-7716 |
| Mailing address | Po Box 689, Mt Sterling, KY 40353 |
| Enumerated | December 6, 2006 |
| Last updated | May 25, 2012 |
| Authorized official | Donna Raper, Practice Manager |
| Other names | Gateway Internal Medicine And Pediatric Associates PLLC |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatrics, Adolescent Medicine | 2080A0000X | — |
| Nurse Practitioner, Pediatrics | 363LP0200X | — |
| Internal Medicine, Adolescent Medicine primary | 207RA0000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.