Gateway Medical Group Lc
Gateway Medical Group Lc is a healthcare organization registered as Cardiovascular Disease Physician in Okeechobee, FL, holding Type 2 (organization) NPI 1124012422 since 2005. The authorized official on file is John Smith, Coo.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1124012422 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Gateway Medical Group Lc |
| Practice address | 111 NE 19TH DR, Okeechobee, FL, 34972 |
| Phone | 8633571068 |
| Enumeration date | 2005-09-01 |
| Last updated in NPPES | 2025-09-11 |
Authorized official
| Name | John Smith |
|---|---|
| Title | Coo |
| Phone | 8634677084 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207R00000X | Internal Medicine Physician | Secondary | ME0071118 | FL |
| 207R00000X | Internal Medicine Physician | Secondary | ME0077602 | FL |
| 207R00000X | Internal Medicine Physician | Secondary | ME0071683 | FL |
| 208800000X | Urology Physician | Secondary | ME0080601 | FL |
| 208600000X | Surgery Physician | Secondary | ME0021272 | FL |
| 2084N0400X | Neurology Physician | Secondary | ME0069465 | FL |
| 208000000X | Pediatrics Physician | Secondary | ME0060312 | FL |
| 207ZP0105X | Clinical Pathology/Laboratory Medicine Physician | Secondary | ME0060313 | FL |
| 207V00000X | Obstetrics & Gynecology Physician | Secondary | ME0021723 | FL |
| 207RP1001X | Pulmonary Disease Physician | Secondary | ME0057971 | FL |
| 207RG0100X | Gastroenterology Physician | Secondary | ME0066502 | FL |
| 207RC0000X | Cardiovascular Disease Physician | Primary | ME0043238 | FL |
Copy-ready billing details
Provider: Gateway Medical Group Lc NPI: 1124012422 Taxonomy: 207RC0000X (Cardiovascular Disease Physician) Address: 111 NE 19TH DR, Okeechobee, FL, 34972
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1902596778 | Aba Therapy Solutions, LLC | Organization | Behavior Analyst | Okeechobee, FL |
Verify this record
Cross-check NPI 1124012422 against the authoritative CMS record: view Gateway Medical Group Lc on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Where is Gateway Medical Group Lc located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-09-11.