Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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John A Mattoni Jr., MD

Individual provider Anesthesiology Physician · NPI 1679674220

John A Mattoni Jr., MD is an Anesthesiology in Independence, Missouri. Qualified in 1987, 39 years ago. Practices with Orthomed Staffing LLC, a 373-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
39
Licensed in
MO
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

19550 E 39th St S Ste 100
Independence, MO 64057-2303
Phone: (913) 428-2900
Fax: (913) 428-2951
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 108692 (MO)

Record details

NPI number1679674220
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 26, 2006
Last updated in NPPESJuly 29, 2013

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolOTHER
Graduated 1987 (39 years in practice)
Group practice Orthomed Staffing Llc — 373 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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