Active NPI
Matthew F Gornet, M.D.
- Specialist
- Chesterfield, MO
National Provider Identifier
1962406207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 36909
- Practice address
- 14825 N Outer 40 Rd
Ste 200
Chesterfield, MO 63017-2152 - Phone
- (314) 336-2555
- Fax
- (314) 336-2654
- NPI assigned
- Jun 1, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 36909 | MO | Primary |
Addresses
Primary practice location
14825 N Outer 40 Rd
Ste 200
Chesterfield, MO 63017-2152
Mailing address
14825 N Outer 40 Rd
Ste 200
Chesterfield, MO 63017-2152
Phone (314) 336-2555
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective May 15, 2013 through May 15, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36909 | MO | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ozarks Medical Center | Past | Accepting new patients | |
| Midwest Imaging Specialists | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Radiology Clinic/Center
- Cape Girardeau, MO
- NPI 1336633304
-
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279497600000",
"number": "1962406207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14825 N OUTER 40 RD",
"address_2": "STE 200",
"city": "CHESTERFIELD",
"state": "MO",
"postal_code": "630172152",
"telephone_number": "314-336-2555",
"fax_number": "314-336-2654"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14825 N OUTER 40 RD",
"address_2": "STE 200",
"city": "CHESTERFIELD",
"state": "MO",
"postal_code": "630172152",
"telephone_number": "314-336-2555",
"fax_number": "314-336-2654"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORNET",
"first_name": "MATTHEW",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-01",
"last_updated": "2010-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MO",
"license": "36909",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chesterfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2010; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.