Michael Shane McKee

Primary specialty

SpecialistTaxonomy code 174400000X

License

L5046 Issued in TX

Practice address

20079 Stone Oak Pkwy
Suite 1245
San Antonio, TX 78258-6942

Phone

(210) 545-0087

Fax

(210) 545-5455

NPI assigned

Jul 25, 2006

Last updated

Apr 23, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mckee.michael.009.0430057@mmimd.meditab.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Saspine, LLC

  • Orthopaedic Surgery of the Spine Physician
  • San Antonio, TX
  • NPI 1750811287
  Medicare reassignment NPD
• Spine Care & Pain Management of San Antonio LLC

  dba Vertex Pain Physicians

  • Interventional Pain Medicine Physician
  • San Antonio, TX
  • NPI 1114375482
  Medicare reassignment NPD
• Laser Spine of San Antonio PLLC

  • Interventional Pain Medicine Physician
  • San Antonio, TX
  • NPI 1750637997
  Authorized official Same address or phone
• Michael McKee

  dba Spine Care of San Antonio

  • Interventional Pain Medicine Physician
  • San Antonio, TX
  • NPI 1609156660
  NPD (past) Authorized official
• Spine Care & Pain Management of San Antonio LLC

  • Interventional Pain Medicine Physician
  • San Antonio, TX
  • NPI 1205656089
  NPD
• Star Anesthesia, PA.

  • Anesthesiology Physician
  • San Antonio, TX
  • NPI 1568478378
  NPD (past)
• East End Anesthesiologists LLC

  • Anesthesiology Physician
  • Southampton, NY
  • NPI 1194778084
  NPD (past)
• Southampton Radiology PC

  • Radiology Clinic/Center
  • Southampton, NY
  • NPI 1255349239
  NPD (past)

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366675200000",
    "number": "1316960065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 790256",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782790256",
            "telephone_number": "210-545-0087",
            "fax_number": "210-545-3455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20079 STONE OAK PKWY",
            "address_2": "SUITE 1245",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782586942",
            "telephone_number": "210-545-0087",
            "fax_number": "210-545-5455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKEE",
        "first_name": "MICHAEL",
        "middle_name": "SHANE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2013-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "L5046",
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "TX",
            "license": "L5046",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "L5046",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "171244001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shayla McKay, LVN
• Ada Iran McKee
• Cherelle Davita McKee
• Ian McKee
• Megan Adelaide McKee, PHARM.D.
• Michelle Suzanne McKee, RN
• Milissa A McKee, MD
• Diane Theresa McKeever, DDS
• Latonya McKellar
• Patrick A McKendrick, LMSW

• Specialist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.