Individual provider Active NPI

Matthew D Chynoweth, DO

  • Anesthesiology Physician
  • Casper, WY
National Provider Identifier
1376658104
Registry record updated Oct 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
7192A Issued in WY
Practice address
4850 Chinook TRL
Casper, WY 82604-5201
Phone
(307) 473-8173
NPI assigned
Aug 20, 2006
Last updated
Oct 19, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ph.D. Medical Genetics 170100000X 7192A WY
Anesthesiology Physician 207L00000X 7192A WY Primary

Addresses

Primary practice location

4850 Chinook TRL
Casper, WY 82604-5201

Mailing address

4850 Chinook TRL
Casper, WY 82604-5201
Phone (307) 473-8173

Other identifiers 1

IdentifierTypeStateIssuer
121629500MedicaidWY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061006000503 WY Practitioner - Anesthesiology 2567468960 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wyoming Anesthesia, LLCGroup PAC ID 8325383953, 17 clinicians

Practice addresses (Care Compare)

1233 E 2ND St
Casper, WY 82601-2926
Phone (800) 822-7201

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
7192AWYMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wyoming Anesthesia, LLC Anesthesiology CurrentSince Jan 1, 2019 Accepting new patients
Kodiak Anesthesia PC Anesthesiology CurrentSince Oct 24, 2021 Accepting new patients
Community Hospital Anesthesiology Current Accepting new patients

Locations

111 W 2nd St
Ste 415
Casper, WY 82601
Phone (307) 237-5848

1233 E 2nd St
Casper, WY 82601
Phone (307) 577-2171

1233 E 2nd St
#415
Casper, WY 82601
Phone (307) 577-7201

1421 Wilkins Cir
Casper, WY 82601
Phone (307) 237-2511

4140 Centennial Hills Blvd
Ste C
Casper, WY 82609
Phone (307) 472-8780

2000 Campbell Dr
Torrington, WY 82240
Phone (307) 532-4181

Interoperability endpoints

  • Direct secure messaging: matthew.chynoweth@direct.wyomingmedicalcenter.org

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634601600000",
    "number": "1376658104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4850 CHINOOK TRL",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826045201",
            "telephone_number": "307-473-8173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4850 CHINOOK TRL",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826045201",
            "telephone_number": "307-473-8173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHYNOWETH",
        "first_name": "MATTHEW",
        "middle_name": "D",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2021-10-19",
        "certification_date": "2021-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170100000X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Ph.D. Medical Genetics",
            "state": "WY",
            "license": "7192A",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WY",
            "license": "7192A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121629500",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Casper, WY

Sources for this page

Verify at the official NPI Registry.