Gerald Robert Gosnell, O.D.

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

T02862 Issued in MO

Practice address

4631 Wyandotte
Kansas City, MO 64112-1542

Phone

(816) 931-3937

Fax

(816) 931-8584

NPI assigned

Jun 12, 2006

Last updated

Dec 29, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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 TX

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Pine Ridge Indian Health Service Hospital

  dba Kyle Health Center

  • Clinic/Center
  • Kyle, SD
  • NPI 1003963497

  TX

  Medicare reassignment NPD
• Pine Ridge Indian Health Service Hospital

  dba Pine Ridge IHS Hospital

  • General Acute Care Hospital
  • Pine Ridge, SD
  • NPI 1497786412

  TX

  Medicare reassignment NPD
• Gerald Robert Gosnell, O.D., P.C.

  • Corneal and Contact Management Optometrist
  • Kansas City, MO
  • NPI 1770793044
  Authorized official Same address or phone
• Pine Ridge Indian Health Service Hospital

  dba LaCreek District Clinic

  • Clinic/Center
  • Martin, SD
  • NPI 1003208257
  NPD
• Pine Ridge Indian Health Service Hospital

  dba Wanblee Health Center

  • Clinic/Center
  • Wanblee, SD
  • NPI 1962559518
  NPD

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451347200000",
    "number": "1144262536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4631 WYANDOTTE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641121542",
            "telephone_number": "816-931-3937",
            "fax_number": "816-931-8584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4631 WYANDOTTE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641121542",
            "telephone_number": "816-931-3937",
            "fax_number": "816-931-8584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOSNELL",
        "first_name": "GERALD",
        "middle_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2015-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "MO",
            "license": "T02862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Gorodetzky, M.D., PH.D.
• Mary Gorski, LCSW, LSCSW
• Elaina Gorton
• Joshua Gosen
• Elizabeth Ashley Goslinga, LPC
• Lauren Ashleigh Gosnell
• Michelle Goss, APRN
• Ryan Goss
• Tate Madyson Goss
• Kelley Regen Gossett

• Corneal and Contact Management Optometrist in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Corneal and Contact Management Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.