GATEWAY OB-GYN – NPI #1376554345
Obstetrics & Gynecology

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

GATEWAY OB-GYN is a provider located in BRIDGETON, MO. NPPES has assigned the NPI number 1376554345 to GATEWAY OB-GYN on August 11, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “GATEWAY OB-GYN” is a dba name, the actual legal business name for this organization is SSM DEPAUL MEDICAL GROUP, INC.. The primary taxonomy selected by this provider is 207V00000X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology.

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GATEWAY OB-GYN below.

NPI Profile for
SSM DEPAUL MEDICAL GROUP, INC.

NPI Number
1376554345
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SSM DEPAUL MEDICAL GROUP, INC.
Doing Business As (dba): GATEWAY OB-GYN
Primary location
12277 DE PAUL DR
SUITE 403
BRIDGETON, MO 63044-2516
Phone: (314) 344-7585 Fax: (314) 344-2879
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
LAURA PULLUM
DIRECTOR OF PATIENT ACCOUNTS
Phone: (314) 209-8121
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207V00000X
- Obstetrics & Gynecology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.