Healthcare Provider Details

I. General information

NPI: 1720512569
Provider Name (Legal Business Name): GATELEY PODIATRY, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/19/2017
Last Update Date: 04/20/2022
Certification Date: 04/20/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6730 SW MISSION VIEW DR
TOPEKA KS
66614-5652
US

IV. Provider business mailing address

6021 SW 29TH ST STE A BOX 352
TOPEKA KS
66614-6201
US

V. Phone/Fax

Practice location:
  • Phone: 785-730-3478
  • Fax: 785-783-8983
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0131X
TaxonomyFoot Surgery Podiatrist
License Number
License Number State

VIII. Authorized Official

Name: TIMOTHY B GATELEY
Title or Position: PRESIDENT
Credential: DPM
Phone: 785-250-4391