GATEWAY SURGICAL GROUP LLC
NPI 1104868413
Surgery in Lake City, FL

Q: What is Gateway Surgical Group LLC's NPI number?

The NPI number for Gateway Surgical Group LLC is 1104868413. It was assigned to this organization in the NPPES registry on June 12, 2006.

Q: What is Gateway Surgical Group LLC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Active since June 12, 2006

3140 NW MEDICAL CENTER LN, SUITE 120, LAKE CITY, FL 32055(386) 755-6682(386) 755-6796 Get Directions Write a Review

NPPES record last updated: January 14, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Gateway Surgical Group Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GATEWAY SURGICAL GROUP LLC (NPI 1104868413) is a healthcare organization registered as a surgery in Lake City, Florida and active in the NPI registry since June 2006. The organization lists Mickey Pickler, Vp, as its authorized official.

NPPES Registry Identity

NPI1104868413

Entity TypeOrganization

Primary Taxonomy208600000X

Legal Business NameGATEWAY SURGICAL GROUP LLC

Location Address3140 NW MEDICAL CENTER LN, SUITE 120Lake City, FL 32055-4717

Mailing Address3140 Nw Medical Center Ln, Suite 120Lake City, FL 32055-4717 · (386) 755-6682 · Fax (386) 755-6796

Phone(386) 755-6682

Fax(386) 755-6796

Organization SubpartNo

Authorized OfficialMickey PicklerVp · (386) 755-6682

Enumeration DateJune 12, 2006

Last NPPES UpdateJanuary 14, 2008

✔ NPI 1104868413 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

3140 NW MEDICAL CENTER LN, Lake City, FL 32055

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Other Identifiers 3

Other94830FL · Bcbs Of Fl

Medicare PINDD6390

Medicare PINK7414FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ALEJANDRO T SOLER MD

Surgery

3140 NW MEDICAL CENTER LN, SUITE 120
LAKE CITY, FL 32055

Columbia County (386) 755-6682

LAKE CITY IMAGING LLC

Radiology (Diagnostic Radiology)

3140 NW MEDICAL CENTER LN, SUITE 100
LAKE CITY, FL 32055

Columbia County (386) 755-2020

DR. MARY RATLIFF KEDROWSKI D.O.

Surgery

3140 NW MEDICAL CENTER LN
LAKE CITY, FL 32055

Columbia County (386) 755-6682

MR. EDWIN GONZALEZ-NAVEDO MD

Surgery

3140 NW MEDICAL CENTER LN, SUITE 120
LAKE CITY, FL 32055

Columbia County (386) 755-6682

INFECTIOUS DISEASES CONSULTANTS MADHURI SANKURATRI MD LLC

Internal Medicine (Infectious Disease)

3140 NW MEDICAL CENTER LN, STE 120
LAKE CITY, FL 32055

Columbia County (352) 213-6722

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gateway Surgical Group LLC's NPI number?

The NPI number for Gateway Surgical Group LLC is 1104868413. It was assigned to this organization in the NPPES registry on June 12, 2006.

Where is Gateway Surgical Group LLC located?

Gateway Surgical Group LLC is located at 3140 NW Medical Center Ln Suite 120, Lake City, FL 32055. The listed phone number is (386) 755-6682.

What is Gateway Surgical Group LLC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Gateway Surgical Group LLC was last updated on January 14, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.