Healthcare Provider Details

I. General information

NPI: 1710026125
Provider Name (Legal Business Name): GATEWAY ANESTHESIA AND PAIN ASSOCIATES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/05/2007
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4824 E BASELINE RD STE 140
MESA AZ
85206-4680
US

IV. Provider business mailing address

4824 E BASELINE RD STE 140
MESA AZ
85206-4680
US

V. Phone/Fax

Practice location:
  • Phone: 480-924-7091
  • Fax:
Mailing address:
  • Phone: 480-924-7091
  • Fax: 480-854-1445

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number StateAZ
# 3
Primary TaxonomyY
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License Number
License Number StateAZ

VIII. Authorized Official

Name: MATTHEW T. RANSON
Title or Position: MD
Credential: MD
Phone: 480-924-7091