| Gateway Medical Center Llc | |
|
3433 Agler Rd Ste 1100 Columbus OH 43219-3390 | |
| (914) 708-6574 | |
| Not Available |
| Full Name | Gateway Medical Center Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 3433 Agler Rd Ste 1100, Columbus, Ohio |
| Authorized Official Name and Position | Charles Okyere (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 9147086574 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gateway Medical Center Llc 3433 Agler Rd Ste 1100 Columbus OH 43219-3390 Ph: (914) 708-6574 | Gateway Medical Center Llc 3433 Agler Rd Ste 1100 Columbus OH 43219-3390 Ph: (914) 708-6574 |
| NPI Number | 1447070685 |
|---|---|
| Provider Enumeration Date | 10/14/2024 |
| Last Update Date | 12/16/2024 |
| Certification Date | 12/16/2024 |
| Medicare PECOS PAC ID | 4880123835 |
|---|---|
| Medicare Enrollment ID | O20250121003070 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447070685 | NPI | - | NPPES |
| Provider Name | Kemi Lanre Azeez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649231861 PECOS PAC ID: 4880689439 Enrollment ID: I20040518000804 |
| Provider Name | Cynthia Jean Milich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912981812 PECOS PAC ID: 2961485081 Enrollment ID: I20040610000365 |
| Provider Name | Adedoyin O Adetoro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215260930 PECOS PAC ID: 8820254311 Enrollment ID: I20120727000571 |
| Provider Name | Akilah Toni-anne Corbett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487370383 PECOS PAC ID: 0345618344 Enrollment ID: I20221123000650 |
| Provider Name | Syntyche Avolah Annor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356024244 PECOS PAC ID: 1254794787 Enrollment ID: I20230830002833 |
| Provider Name | Keneth Ngetich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881472363 PECOS PAC ID: 2567981566 Enrollment ID: I20250522001703 |
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