Jack M. Matheny II, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

JACK M. MATHENY II, M.D.

Practice address

700 Zeagler Dr Ste 10
Palatka, FL 32177-3826

Phone

(328) 328-6746

NPI assigned

May 28, 2006

Last updated

Sep 12, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

JACK M MATHENY II MDAs reported in NPPES

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

Authorized official

Name

Dr. Jack Meadows Matheny II, M.D.NPI 1629040043

Title

Owner

Phone

(386) 328-6746

Specialties & licenses 2

Addresses

Other identifiers 2

Part of

Jack Matheny II MD

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jack M Matheny II

  • Family Medicine Physician
  • Palatka, FL
  • NPI 1629040043
  NPD Authorized official
• Larisa Malykh, MD

  • Internal Medicine Physician
  • Palatka, FL
  • NPI 1134191539
  NPD (past)
• Irena Maria Pacanowska-Assefa, MD

  • Family Medicine Physician
  • Palatka, FL
  • NPI 1932171337
  NPD (past)
• Satish Ravi, M.D

  • Internal Medicine Physician
  • Palatka, FL
  • NPI 1417024183
  NPD (past)

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726099200000",
    "number": "1184671844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 ZEAGLER DR",
            "address_2": "STE 101",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321773888",
            "telephone_number": "328-328-6746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 ZEAGLER DR STE 10",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321773826",
            "telephone_number": "328-328-6746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACK M. MATHENY II, M.D.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JACK M MATHENY II MD",
        "enumeration_date": "2006-05-28",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A",
        "authorized_official_last_name": "MATHENY",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "MEADOWS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-328-6746",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "372143400",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "372143401",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Irion, RN
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• Jack H Soliman MD PA
• Jack M Matheny II, MD, LLC (Better Health and Wellness Clinic)
• Jack M Matheny II, MD, LLC
• Jack M. Matheny II, MD
• Jacksonville Emergency Consultants
• Jacksonville Spine Center PA (Jax Spine & Pain Centers)
• Jerome R Jacobson, M.D.
• Vidya Sagar Jain, MD

• Family Medicine Physician in Palatka, FL
• Providers in Palatka, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.