MATTHEW D GAETA (NPI# 1336247915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336247915 |
| Entity Type | Individual |
| Full Name | MATTHEW D GAETA |
| Credential | MD |
| Practice Address |
1723 Broadway St Suite 220 Cape Girardeau MO 63701-4505 |
| Practice Telephone | 5733317910 |
| Practice Fax Number | 5733317919 |
| Mailing Telephone | 5733317910 |
| Mailing Fax Number | 5733317919 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2007-07-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
2007018011 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | MISSOURI LICENSE | 2007018011 | 01 |
| Street Address |
1723 BROADWAY ST SUITE 220 |
| City | CAPE GIRARDEAU |
| State | MO |
| Zip Code | 63701-4505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801893979 | Pairote Jaroonwanichkul | Internal Medicine | 1723 Broadway St, Suite 315, Cape Girardeau, MO 63701-4505 | 2005-07-05 |
| 1639611718 | Jared Michael Lewis | Physician Assistant | 1723 Broadway St, Suite 410, Cape Girardeau, MO 63701-4566 | 2016-11-07 |
| 1043768088 | Tyler Joshua Greenwood | Physician Assistant | 1723 Broadway St, Suite 410, Cape Girardeau, MO 63701-4566 | 2016-09-20 |
| 1275880429 | Jacob Louis Muckerman | Nurse Practitioner | 1723 Broadway St, Suite 410, Cape Girardeau, MO 63701-4566 | 2012-08-07 |
| 1003115536 | Gladys Grace Tiwonge Kamanga-sollo | Physical Medicine & Rehabilitation | 1723 Broadway St, Suite 410, Cape Girardeau, MO 63701-4566 | 2011-03-23 |
| 1780982215 | Southeast Missouri Hospital Physicians LLC | Clinic/Center | 1723 Broadway St, Suite 205, Cape Girardeau, MO 63701-4566 | 2011-03-08 |
| 1679876767 | Magin Lea Chapman | Nurse Practitioner | 1723 Broadway St, Cape Girardeau, MO 63701-4566 | 2010-12-10 |
| 1821398678 | Andrew N Garner | Clinical Nurse Specialist | 1723 Broadway St, Cape Girardeau, MO 63701-4566 | 2010-10-27 |
| 1013222983 | Michele L Tanz | Nurse Practitioner | 1723 Broadway St, Suite 220, Cape Girardeau, MO 63701-4566 | 2010-08-16 |
| 1396066734 | Stephanie Lee Riley | Nurse Practitioner | 1723 Broadway St, Ste 410, Cape Girardeau, MO 63701-4566 | 2010-06-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336748110 | Westbrook Dialysis, LLC | Clinic/Center | 140 West Drive, Cape Girardeau, MO 63701 | 2020-10-22 |
| 1972079580 | Savannah Laine Menard | Behavior Technician | 20 S. Sprigg St, Cape Girardeau, MO 63701 | 2018-10-22 |
| 1932690377 | Broadway Specialty, LLC | Pharmacy | 706 Broadway St, Cape Girardeau, MO 63701 | 2018-05-22 |
| 1356864649 | Terri L. Mccord | Pharmacist | 4170 Connor Dr, Cape Girardeau, MO 63701 | 2017-07-19 |
| 1013459312 | Christina Cossou | Nurse Practitioner | 2116 Megan Dr Ste 102, Cape Girardeau, MO 63701 | 2016-11-17 |
| 1124573365 | Ashley Sullivan | Massage Therapist | 3041 Melrose Ave, Cape Girardeau, MO 63701 | 2016-08-17 |
| 1225432172 | Axpm - Merkley, LLC | Dentist | 2116 Megan Dr., Suite 101, Cape Girardeau, MO 63701 | 2014-10-21 |
| 1639573397 | Marian Perez Hurt | Physical Therapist | 2001 N. Kingshighway, Fountainbleau Lodge, Cape Girardeau, MO 63701 | 2014-10-09 |
| 1891194213 | Deanna Abner | Case Manager/Care Coordinator | 20 South Sprigg, Cape Girardeau, MO 63701 | 2014-08-21 |
| 1831506880 | Kwadwo O Britwum | Behavioral Analyst | Morningstar Behavioral Associates, 338 W. Broadway Suite 301, Cape Girardeau, MO 63701 | 2014-07-22 |
| Find all providers in zip 63701 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144336819 | James Vanpopering | Internal Medicine | 1723 Broadway St Ste 220, Cape Girardeau, MO 63701-4556 | 2006-08-22 |
| 1245284918 | Ronald M Angles | Internal Medicine | 28 S Mount Auburn Rd, Cape Girardeau, MO 63703-4914 | 2006-05-19 |
| 1922078088 | Matthew J Coleman | Internal Medicine | 1429 N Mount Auburn Rd, Cape Girardeau, MO 63701-2171 | 2006-01-23 |
| 1790173243 | Gaeta Gastroenterology LLC | Internal Medicine | 465 S Mount Auburn Rd, Suite 102, Cape Girardeau, MO 63703-4926 | 2015-01-07 |
| 1407982200 | Wilson Prakash Pais | Internal Medicine | 28 S Mount Auburn Rd, Cape Girardeau, MO 63703-4914 | 2007-02-26 |
| 1629118278 | Wilfred Lee | Internal Medicine | 28 S Mount Auburn Rd, Cape Girardeau, MO 63703-4914 | 2007-02-06 |
| 1598820268 | Christopher Brent Keller | Internal Medicine | 1723 Broadway St, Suite 220, Cape Girardeau, MO 63701-4566 | 2006-12-23 |
| 1720177397 | Trygve O Honaas | Internal Medicine | 1723 Broadway, Suite 220, Cape Girardeau, MO 63701 | 2006-10-12 |
| 1396763645 | Rafid J Hussein | Internal Medicine | 28 S Mount Auburn Rd, Cape Girardeau, MO 63703-4914 | 2006-07-17 |
| 1356388557 | Timothy J Edwards | Internal Medicine | 1429 N Mount Auburn Rd, Cape Girardeau, MO 63701-2171 | 2006-05-31 |
| Find all providers in CAPE GIRARDEAU | ||||
| City | CAPE GIRARDEAU |
| Zip Code | 63701 |
Please comment or provide details below to improve the information on MATTHEW D GAETA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.