| Gateway Medical Clinics, Llc | |
|
11497 Springfield Pike Ste 5 Springdale OH 45246-3551 | |
| (513) 326-2040 | |
| Not Available |
| Full Name | Gateway Medical Clinics, Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 11497 Springfield Pike Ste 5, Springdale, Ohio |
| Authorized Official Name and Position | Waheed Adewumi (OWNER) |
| Authorized Official Contact | 5133262040 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gateway Medical Clinics, Llc 11497 Springfield Pike Ste 5 Springdale OH 45246-3551 Ph: (513) 326-2040 | Gateway Medical Clinics, Llc 11497 Springfield Pike Ste 5 Springdale OH 45246-3551 Ph: (513) 326-2040 |
| NPI Number | 1902098734 |
|---|---|
| Provider Enumeration Date | 08/15/2007 |
| Last Update Date | 07/25/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902098734 | NPI | - | NPPES |
| 000000371883 | Other | OH | ANTHEM |
| P00277464 | Other | OH | MEDICARE RR |
| 7101685 | Other | OH | AETNA |
| 2496375 | Medicaid | OH | |
| 213311832006 | Other | OH | MEDICAL MUTUAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 35-083640 (Ohio) | Primary |
Ourhealth Physician Group, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11568 Springfield Pike, Springdale, OH 45246 Phone: 513-964-0830 |