Healthcare Provider Details

I. General information

NPI: 1568475689
Provider Name (Legal Business Name): GATEWAY PAIN CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2006
Last Update Date: 03/25/2025
Certification Date: 03/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10435 CLAYTON RD SUITE 120
FRONTENAC MO
63131-2909
US

IV. Provider business mailing address

10435 CLAYTON RD SUITE 120
FRONTENAC MO
63131-2909
US

V. Phone/Fax

Practice location:
  • Phone: 314-985-3002
  • Fax: 314-985-3012
Mailing address:
  • Phone: 314-985-3002
  • Fax: 314-985-3012

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. BARRY A FEINBERG
Title or Position: PRESIDENT
Credential: M.D.
Phone: 314-985-3002