| Gateway Internal Medicine Associates Pa | |
|
10201 Gateway Blvd W Suite 301 El Paso TX 79925-7652 | |
| (915) 422-9795 | |
| Not Available |
| Full Name | Gateway Internal Medicine Associates Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 10201 Gateway Blvd W, El Paso, Texas |
| Authorized Official Name and Position | Onyema E Amakiri (PRESIDENT AND SECRETARY) |
| Authorized Official Contact | 9154229795 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gateway Internal Medicine Associates Pa 10201 Gateway Blvd W Suite 301 El Paso TX 79925-7652 Ph: (915) 422-9795 | Gateway Internal Medicine Associates Pa 10201 Gateway Blvd W Suite 301 El Paso TX 79925-7652 Ph: (915) 422-9795 |
| NPI Number | 1891964730 |
|---|---|
| Provider Enumeration Date | 02/25/2008 |
| Last Update Date | 02/25/2008 |
| Medicare PECOS PAC ID | 5092888743 |
|---|---|
| Medicare Enrollment ID | O20080714000698 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891964730 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | M8488 (Texas) | Primary |
| Provider Name | Onyema E Amakiri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811166721 PECOS PAC ID: 3173696820 Enrollment ID: I20080714000711 |
| Provider Name | Patricia Ramirez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215180203 PECOS PAC ID: 3577628361 Enrollment ID: I20090211000180 |
| Provider Name | Nicholas Riburn Vaughn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275923286 PECOS PAC ID: 6002131752 Enrollment ID: I20150305000199 |
| Provider Name | Kathra A Wickam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962926436 PECOS PAC ID: 1951677277 Enrollment ID: I20171031002756 |
| Provider Name | Usa N Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629599832 PECOS PAC ID: 6406122720 Enrollment ID: I20171031002816 |
| Provider Name | Lola Rodgers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598284762 PECOS PAC ID: 9638436207 Enrollment ID: I20171207000018 |
| Provider Name | Angela C Amakiri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922664630 PECOS PAC ID: 6204849516 Enrollment ID: I20200214000266 |
| Provider Name | Venessa Jean Tellez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487264198 PECOS PAC ID: 8729487384 Enrollment ID: I20210602000193 |
| Provider Name | Amanda M Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770047474 PECOS PAC ID: 5799015822 Enrollment ID: I20210811000139 |
| Provider Name | Stephannie Lou Legarretta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801537790 PECOS PAC ID: 8224404983 Enrollment ID: I20221020001660 |
| Provider Name | Janice Gacheri Nyamongo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669155123 PECOS PAC ID: 6204299761 Enrollment ID: I20230830004142 |
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