Kingman Pulmonary Associates, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

32495 Issued in AZ

Legal business name

KINGMAN PULMONARY ASSOCIATES, LLC

Practice address

1739 E Beverly Ave
Suite 106
Kingman, AZ 86409-3593

Phone

(928) 757-3133

Fax

(928) 757-3136

NPI assigned

Apr 24, 2007

Organization subpart

No

Name

Dr. Robert Gregg Matheny, MDNPI 1225142557

Title

President

Phone

(928) 757-3133

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert G Matheny, M.D.

  • Critical Care Medicine (Internal Medicine) Physician
  • Kingman, AZ
  • NPI 1225142557
  NPD (past) Authorized official

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 6, 2007.

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196899200000",
    "number": "1447479118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1739 E BEVERLY AVE",
            "address_2": "SUITE 106",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864093593",
            "telephone_number": "928-757-3133",
            "fax_number": "928-757-3136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1739 E BEVERLY AVE",
            "address_2": "SUITE 106",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864093593",
            "telephone_number": "928-757-3133",
            "fax_number": "928-757-3136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGMAN PULMONARY ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2007-12-06",
        "status": "A",
        "authorized_official_last_name": "MATHENY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "GREGG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "928-757-3133",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AZ",
            "license": "32495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kingman Hospital Inc
• Kingman Kidney Clinic Inc.
• Kingman Neurology
• Kingman No 1 LLC
• Kingman Oncology Institute LLC
• Kingman Radiology Associates LLC
• Kingman Senior Living, LLC
• Kingman Transportation Service, LLC
• Kingman Unified School District
• Kingman Unified School District #20

• All providers in Kingman, AZ
• Specialist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2007; 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.