OrganizationActive
Gateway Area Medical Pcp
NPI 1104881648 · Pediatrics Physician · Du Bois, PA
Provider details
- NPI number
- 1104881648
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Linda Nowak, Billing Dept(814) 371-1771
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
635c Maple Ave
Du Bois, PA 15801-2377
Phone: (814) 371-1771
Fax: (814) 371-4417
Street-level locationGet directions
Mailing address
635c Maple Ave
Du Bois, PA 15801-2377
Registry dates
- Enumerated
- 2006-04-18
- Last updated
- 2010-12-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.