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GATEWAY INTERNAL MEDICINE AND PEDIATRIC ASSOCIATES, PLLC

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Company Details

Name: GATEWAY INTERNAL MEDICINE AND PEDIATRIC ASSOCIATES, PLLC
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Bad
Profit or Non-Profit: Profit
File Date: 09 Feb 2001 (24 years ago)
Organization Date: 15 Feb 2001 (24 years ago)
Last Annual Report: 30 Jun 2016 (9 years ago)
Managed By: Members
Organization Number: 0510400
ZIP code: 40353
City: Mount Sterling, Camargo, Mt Sterling
Primary County: Montgomery County
Principal Office: 103 COMMONWEALTH DRIVE, MT. STERLING, KY 40353
Place of Formation: KENTUCKY

Registered Agent

Name Role
JEFFREY B. MCGINNIS Registered Agent

Member

Name Role
Jeffrey B McGinnis, M.D. Member

Organizer

Name Role
DONALD R. ROSE Organizer

National Provider Identifier

NPI Number:
1912066085

Authorized Person:

Name:
MRS. DONNA LYNN RAPER
Role:
PRACTICE MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
2080A0000X - Pediatric Adolescent Medicine Physician
Is Primary:
No
Selected Taxonomy:
363LP0200X - Pediatric Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
207RA0000X - Adolescent Medicine (Internal Medicine) Physician
Is Primary:
Yes

Contacts:

Fax:
8594970044

Filings

Name File Date
Administrative Dissolution 2017-10-09
Annual Report 2016-06-30
Annual Report 2015-06-30
Annual Report 2014-07-31
Annual Report 2013-05-10

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Sources: Kentucky Secretary of State