Matthew Michael Shrontz

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

TC152 Issued in KY

Practice address

1305 Fork Lick Rd
Corinth, KY 41010-8515

Phone

(330) 692-8678

NPI assigned

Jan 17, 2024

Last updated

May 20, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kentucky Hospitalist Group PLLCGroup PAC ID 0345656377, 10 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Clark Regional Medical Center Hospital, Winchester, KY, CCN 180092

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kentucky Hospitalist Group, PLLC

  • Hospitalist Physician
  • Lexington, KY
  • NPI 1558954776
  Medicare reassignment Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Kentucky Hospital, LLC

  dba Clark Regional Medical Center

  • General Acute Care Hospital
  • Winchester, KY
  • NPI 1811213994
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1705449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1013778026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 FORK LICK RD",
            "city": "CORINTH",
            "state": "KY",
            "postal_code": "410108515",
            "telephone_number": "330-692-8678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 FORK LICK RD",
            "city": "CORINTH",
            "state": "KY",
            "postal_code": "410108515",
            "telephone_number": "330-692-8678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHRONTZ",
        "first_name": "MATTHEW",
        "middle_name": "MICHAEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-01-17",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "KY",
            "license": "TC152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra E. Lake, DMD

• Medical Physician Assistant in Corinth, KY
• Providers in Corinth, KY by specialty
• Medical Physician Assistant in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.