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GATEWAY OB-GYN
NPI 1376554345
Obstetrics & Gynecology in Bridgeton, MO

Active since August 11, 2006CLIA 26D0915340 · Microscopy
12277 DE PAUL DR, SUITE 403, BRIDGETON, MO 63044(314) 344-7585(314) 344-2879 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gateway Ob-gyn NPPES

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

GATEWAY OB-GYN (NPI 1376554345) is a healthcare organization registered as an obstetrics & gynecology in Bridgeton, Missouri and active in the NPI registry since August 2006. The organization holds a CLIA Microscopy certificate valid through May 23, 2028 and lists Laura Lynn Pullum, Director Of Patient Accounts, as its authorized official.

NPPES Registry Identity

NPI1376554345
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameSSM DEPAUL MEDICAL GROUP, INC.
Location Address12277 DE PAUL DR, SUITE 403Bridgeton, MO 63044-2516
Mailing Address12277 De Paul Dr, Suite 403Bridgeton, MO 63044-2516 · (314) 344-7585 · Fax (314) 344-2879
Phone(314) 344-7585
Fax(314) 344-2879
Organization SubpartNo
Authorized OfficialLaura Lynn PullumDirector Of Patient Accounts · (314) 209-8121
Enumeration DateAugust 11, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1376554345 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
12277 DE PAUL DR, Bridgeton, MO 63044
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Other Names 1

Doing Business AsGateway Ob-gyn

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 26D0915340

Ssm Depaul Medical Group Ob/Gyn · Bridgeton, MO
Active · expires May 23, 2028
CLIA Number26D0915340
Laboratory TypePhysician Office
Certificate Effective DateMay 24, 2026
Certificate Expiration DateMay 23, 2028
Laboratory DirectorRavi S. Johar
Laboratory Phone(314) 344-7585
Laboratory LocationSsm Depaul Medical Group Ob/Gyn12277 Depaul Drive Ste 305, Bridgeton, MO 63044
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 17

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

SEAN T MCLAUGHLIN M.D.
Internal Medicine
12277 DE PAUL DR, SUITE 504
BRIDGETON, MO 63044
St. Louis County (314) 298-3893
MELVIN BORIS SALTZMAN D.O.
Internal Medicine (Gastroenterology)
12277 DE PAUL DR, STE 404
BRIDGETON, MO 63044
St. Louis County (314) 770-1000
DR. WALTER F BENOIST M.D.
Pediatrics
12277 DE PAUL DR, SUITE 506
BRIDGETON, MO 63044
St. Louis County (314) 770-2300
DR. JOHN JOSEPH BONACORSI M.D.
Specialist
12277 DE PAUL DR, STE. 502S
BRIDGETON, MO 63044
St. Louis County (314) 291-5307
DR. DION GRANT FISHER M.D
Internal Medicine
12277 DE PAUL DR, SUITE 504
BRIDGETON, MO 63044
St. Louis County (314) 298-3893
JOULE N STEVENSON MD LLC
Clinic/Center (Primary Care)
12277 DE PAUL DR, SUITE 406
BRIDGETON, MO 63044
St. Louis County (314) 731-7844
STEPHANIE LEE COGAN-LEVY MD
Obstetrics & Gynecology
12277 DE PAUL DR, STE 501S
BRIDGETON, MO 63044
St. Louis County (314) 739-8844
MULTI-CARE MEDICAL, PC
Internal Medicine
12277 DE PAUL DR, STE 404
BRIDGETON, MO 63044
St. Louis County (314) 770-1000

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 Ssm Depaul Medical Group, Inc.'s NPI number?

The NPI number for Ssm Depaul Medical Group, Inc. is 1376554345. It was assigned to this organization in the NPPES registry on August 11, 2006. The provider is doing business as Gateway Ob-Gyn.

Where is Ssm Depaul Medical Group, Inc. located?

Ssm Depaul Medical Group, Inc. is located at 12277 De Paul Dr Suite 403, Bridgeton, MO 63044. The listed phone number is (314) 344-7585.

What is Ssm Depaul Medical Group, Inc.'s specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Does Ssm Depaul Medical Group, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 26D0915340) is associated with this NPI, valid through May 23, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Ssm Depaul Medical Group, Inc. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.