Organization Active NPI

Kentuckiana Anesthesiology, PLLC

Doing business as Medical Anesthesia Partners

  • Anesthesiology Physician
  • Plano, TX
National Provider Identifier
1225452774
Registry record updated Apr 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
J5406 Issued in TX
Legal business name
KENTUCKIANA ANESTHESIOLOGY, PLLC
Doing business as
Medical Anesthesia Partners
Practice address
5516 Weatherby LN
Plano, TX 75093-3417
Phone
(214) 577-7635
Fax
(972) 612-5811
NPI assigned
Feb 4, 2014
Last updated
Apr 22, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2016

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

Authorized official

Name
Dr. Gregory W McWhorter, M.D.NPI 1912983289
Title
President
Phone
(214) 577-7635

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X J5406 TX Primary

Addresses

Primary practice location

5516 Weatherby LN
Plano, TX 75093-3417

Mailing address

5516 Weatherby LN
Plano, TX 75093-3417
Phone (214) 577-7635

Other identifiers 9

IdentifierTypeStateIssuer
148622702MedicaidTX
148622704OtherTXMEDICAID CSHCN
148622705OtherTXMEDICAID CSHCN
148622701MedicaidTX
148622703MedicaidTX
7788421OtherCIGNA
8227M8OtherTXBCBS
0062ZPOtherTXBLUE CROSS BLUE SHIELD OF TEXAS
902840910OtherUNIED HEALTHCARE

Other names 1

  • Medical Anesthesia Partners Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140619001855 TX Part B Supplier - Clinic/Group Practice 8628292307 Receives reassigned benefits from 1 practitioner
Practice locations: Addsion, TX; Plano, TX; Frisco, TX; McKinney, TX; Dallas, TX; Denton, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1391472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461283200000",
    "number": "1225452774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5516 WEATHERBY LN",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750933417",
            "telephone_number": "214-577-7635",
            "fax_number": "972-612-5811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5516 WEATHERBY LN",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750933417",
            "telephone_number": "214-577-7635",
            "fax_number": "972-612-5811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENTUCKIANA ANESTHESIOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-04",
        "last_updated": "2016-04-22",
        "status": "A",
        "authorized_official_last_name": "MCWHORTER",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-577-7635",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "J5406",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148622702",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID CSHCN",
            "identifier": "148622704",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID CSHCN",
            "identifier": "148622705",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148622701",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148622703",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "7788421",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8227M8",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF TEXAS",
            "identifier": "0062ZP",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIED HEALTHCARE",
            "identifier": "902840910",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Anesthesia Partners",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.