Keith E. Matheny, M.D., PLLC

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

L5828 Issued in TX

Legal business name

KEITH E. MATHENY, M.D., PLLC

Practice address

8380 Warren Parkway
Suite 504
Frisco, TX 75034-4197

Phone

(972) 596-4005

Fax

(972) 985-1253

NPI assigned

Jun 18, 2007

Organization subpart

No

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

Authorized official

Name

Keith E Matheny, M.D.NPI 1205805462

Title

Owner

Phone

(972) 596-4005

Specialties & licenses 1

Addresses

Other names 1

• Keith E. Matheny, M.D. Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 6

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

• Keith E Matheny, M.D.

  • Otolaryngology Physician
  • Frisco, TX
  • NPI 1205805462
  Medicare reassignment Care Compare group NPD Authorized official
• Cierra Charrse Black, PA-C

  • Physician Assistant
  • Dallas, TX
  • NPI 1104625383
  Medicare reassignment Care Compare group NPD
• Kimberly Amezquita, PA

  • Surgical Physician Assistant
  • Rockwall, TX
  • NPI 1285270462
  Medicare reassignment Care Compare group
• Kathryn Seba, FNP-C

  • Family Nurse Practitioner
  • Allen, TX
  • NPI 1235737057
  Medicare reassignment Care Compare group
• William B Cobb, M.D.

  • Otolaryngology Physician
  • Frisco, TX
  • NPI 1730149691
  NPD (past)
• Emily A Phan, PA-C

  • Medical Physician Assistant
  • Plano, TX
  • NPI 1548436553
  NPD (past)

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221091200000",
    "number": "1558566786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8380 WARREN PARKWAY",
            "address_2": "SUITE 504",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750344197",
            "telephone_number": "972-596-4005",
            "fax_number": "972-985-1253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8380 WARREN PARKWAY",
            "address_2": "SUITE 504",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750344197",
            "telephone_number": "972-596-4005",
            "fax_number": "972-985-1253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEITH E. MATHENY, M.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-18",
        "last_updated": "2008-09-11",
        "status": "A",
        "authorized_official_last_name": "MATHENY",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-596-4005",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "TX",
            "license": "L5828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Keith E. Matheny, M.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kayla Keck, DC
• David Martin Keelen, MD
• Kevin Keene, LPC-S
• Edward Holman Keezel
• Stacy L. Keif, M.O.T.
• James Keliehor
• Shilpa Kelkar, D.M.D
• Allison Anne Kellaway, PT, DPT
• Ashley Donelle Keller, PHARMD
• Michael Robert Keller, DC

• Otolaryngology Physician in Frisco, TX
• Providers in Frisco, TX by specialty
• Otolaryngology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2008; 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.