| Gateway Midwest Healthcare | |
|
1034 S Brentwood Blvd Suite 450 Saint Louis MO 63117-1223 | |
| (314) 833-6240 | |
| (314) 833-6237 |
| Full Name | Gateway Midwest Healthcare |
|---|---|
| Speciality | Internal Medicine |
| Location | 1034 S Brentwood Blvd, Saint Louis, Missouri |
| Authorized Official Name and Position | Affan Waheed (MEMBER) |
| Authorized Official Contact | 3143360945 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gateway Midwest Healthcare 1034 S Brentwood Blvd Suite 450 Saint Louis MO 63117-1223 Ph: (314) 833-6240 | Gateway Midwest Healthcare 1034 S Brentwood Blvd Suite 450 Saint Louis MO 63117-1223 Ph: (314) 833-6240 |
| NPI Number | 1811368244 |
|---|---|
| Provider Enumeration Date | 10/12/2015 |
| Last Update Date | 02/23/2023 |
| Certification Date | 02/23/2023 |
| Medicare PECOS PAC ID | 8527363639 |
|---|---|
| Medicare Enrollment ID | O20160229000515 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811368244 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Paul S Catanzaro |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1386653731 PECOS PAC ID: 6800858770 Enrollment ID: I20041102000992 |
| Provider Name | Binwant K Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508932195 PECOS PAC ID: 5597781021 Enrollment ID: I20051025000090 |
| Provider Name | Harmeeta Kaur Singh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740481027 PECOS PAC ID: 8628120367 Enrollment ID: I20090710000288 |
| Provider Name | Christopher James Hummel |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1679951693 PECOS PAC ID: 5496076044 Enrollment ID: I20150608001398 |
| Provider Name | Ronald E Freilich |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1346645496 PECOS PAC ID: 0547570319 Enrollment ID: I20151106000146 |
| Provider Name | Andrea Hyde |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750815023 PECOS PAC ID: 6608147319 Enrollment ID: I20170728002673 |
| Provider Name | Felicia Adria Benson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689151979 PECOS PAC ID: 4880922186 Enrollment ID: I20190824000245 |
| Provider Name | Jessica M Seaborn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831730738 PECOS PAC ID: 0840622379 Enrollment ID: I20191121000515 |
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