Active NPI
Shauna Ejtehadi Matheny, DO
- Pediatrics Physician
- Aurora, CO
National Provider Identifier
1760836092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- DR.0071924
- Practice address
- 13123 E 16TH Ave
Aurora, CO 80045-7106 - Phone
- (720) 777-3873
- NPI assigned
- Apr 23, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | DR.0071924 | CO | Primary |
| Pediatrics Physician | 208000000X | 13704A | WY |
Addresses
Primary practice location
13123 E 16TH Ave
Aurora, CO 80045-7106
Mailing address
13123 E 16TH Ave
Aurora, CO 80045-7106
Phone (720) 777-3873
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DR.0071924 | CO | MD | Pediatrics Physician |
| 13704A | WY | MD | Pediatrics Physician |
Interoperability endpoints
- shauna.matheny.1@16985.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702944000000",
"number": "1760836092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13123 E 16TH AVE",
"city": "AURORA",
"state": "CO",
"postal_code": "800457106",
"telephone_number": "720-777-3873"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13123 E 16TH AVE",
"city": "AURORA",
"state": "CO",
"postal_code": "800457106",
"telephone_number": "720-777-3873"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHENY",
"first_name": "SHAUNA",
"middle_name": "EJTEHADI",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-23",
"last_updated": "2023-12-19",
"certification_date": "2022-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CO",
"license": "DR.0071924",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "WY",
"license": "13704A",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aurora, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.