Dr. Gary L. Cornette, D.O.
Internal Medicine, Gastroenterology in Overland Park, KS. Individual provider (NPI-1).
NPI number1639149271
StatusActive
Last updated in NPPESDec 27, 2021
Details
- NPI
- 1639149271
- Entity type
- Individual (NPI-1)
- Name
- Dr. Gary L. Cornette
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 25, 2006
- Certification date
- Dec 27, 2021
- Last updated
- Dec 27, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - GASTROENTEROLOGY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RG0100X | Internal Medicine, Gastroenterology | 05-23660 | KS | Yes |
| 207RG0100X | Internal Medicine, Gastroenterology | 02002889A | IN | |
| 207RG0100X | Internal Medicine, Gastroenterology | 2021047585 | MO |
Practice location
6913 W 123rd Ter Apt 705Overland Park, KS 66209-2822
Phone 928-864-8042
Mailing address
6913 W 123rd Ter Apt 705Overland Park, KS 66209-2822
Phone 928-864-8042
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