Provider Demographics
NPI:1770801623
Name:GATEWAY ANESTHESIA SERVICES PC
Entity type:Organization
Organization Name:GATEWAY ANESTHESIA SERVICES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:J
Authorized Official - Last Name:DANYI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:540-772-3601
Mailing Address - Street 1:PO BOX 13766
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24037-3766
Mailing Address - Country:US
Mailing Address - Phone:866-224-2413
Mailing Address - Fax:540-776-0699
Practice Address - Street 1:1802 BRAEBURN DR
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:VA
Practice Address - Zip Code:24153-7357
Practice Address - Country:US
Practice Address - Phone:540-772-3601
Practice Address - Fax:540-776-6856
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-17
Last Update Date:2010-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty