GATEWAY IOM, LLC – NPI #1467808667
Psychiatry & Neurology

Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS).

Health Care Provider Taxonomy Code for Psychiatry & Neurology

GATEWAY IOM, LLC is a psychiatry & neurologist located in SAINT LOUIS, MO. NPPES has assigned the NPI number 1467808667 to GATEWAY IOM, LLC on May 06, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2084N0600X from the Health Care Provider Taxonomy code set, which is classified as Psychiatry & Neurology, specializing in Clinical Neurophysiology

The NPI profile was previously updated about 10 years ago on Nov 14, 2016. 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 IOM, LLC below.

NPI Profile for
GATEWAY IOM, LLC

NPI Number
1467808667
Enumeration Date

(more than 10 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
GATEWAY IOM, LLC
Primary location
4579 LACLEDE AVE # 446
SAINT LOUIS, MO 63108-2103
Phone: (314) 627-1335 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JOSUE GABRIEL
MANAGING MEMBER
Phone: (464) 627-1335
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
2084N0600X
- Psychiatry & Neurology / Clinical Neurophysiology (Primary)
246ZE0600X
- Specialist/Technologist, Other / Electroneurodiagnostic
2084N0400X
- Psychiatry & Neurology / Neurology
204R00000X
- Electrodiagnostic Medicine

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.