DR. KENNETH LEE MATTHEWS (NPI# 1891707725) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891707725 |
| Entity Type | Individual |
| Full Name | DR. KENNETH LEE MATTHEWS |
| Credential | M.D. |
| Practice Address |
13620 Nw Military Hwy. Bldg. 3, Suite 2 San Antonio TX 78231 |
| Practice Telephone | 2109784341 |
| Practice Fax Number | 2106989188 |
| Mailing Telephone | 2109784341 |
| Mailing Fax Number | 2106989188 |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2012-05-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
D7174 | TX | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063627065 | Kenneth James Matthews | Physical Therapist | 2006 Cardinal Ln, Mcalester, OK 74501-7507 | 2007-05-12 |
| 1649764556 | Kenneth Matthews | Occupational Therapist | 8901 Wisconsin Ave, Bethesda, MD 20889-0004 | 2018-06-15 |
| 1013957612 | Kenneth E Matthews | Pediatrics | 1602 Rock Prairie Rd, Suite 340, College Station, TX 77845-8306 | 2006-06-08 |
| Street Address |
13620 NW MILITARY HWY. BLDG. 3, SUITE 2 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78231 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790229516 | U S Anesthesia Partners of Texas, Pa | Anesthesiology | 3603 Paesanos Pkwy Ste 100, San Antonio, TX 78231 | 2016-12-13 |
| 1679945869 | Jocasta Castillo | Social Worker | Jewish Family Service of San Antonio, Tx, Inc., 12500 Nw Military Hwy Ste 250, San Antonio, TX 78231 | 2015-10-27 |
| 1710367297 | Amir Shahab Ashtiani | Dentist | 938 Wurzbach Pkwy Ste 107, San Antonio, TX 78231 | 2015-06-01 |
| 1386044303 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 919 Wurzbach Parkway, San Antonio, TX 78231 | 2014-08-27 |
| 1326452160 | Wal-mart Stores Texas, LLC | Technician/Technologist | 12639 Blanco Rd, San Antonio, TX 78231 | 2014-06-19 |
| 1306165378 | Rex Elwyn Wildey | Dentist | 10003 Nw Military Hwy, Suite 3201, San Antonio, TX 78231 | 2010-05-28 |
| 1003065095 | Gomes Dental, PC | Dentist | 4115 Pond Hill Rd, Suite 102, Shavano Park, TX 78231 | 2008-09-15 |
| 1801966320 | William Michael Copeland | Dentist | 2397 C Nw Military Hwy, San Antonio, TX 78231 | 2006-11-09 |
| 1588766802 | Eugene G Krenzer Jr. | Counselor | 12500 North West Military Hwy #250, Jewish Family and Children's Services, San Antonio, TX 78231 | 2006-09-05 |
| 1760590442 | Arlene G. Dryer | Social Worker | Jfcs, 12500 N.w. Military Hwy., #250, San Antonio, TX 78231 | 2006-08-25 |
| Find all providers in zip 78231 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588076343 | Amber Mansoor | Psychiatry & Neurology | 16007 Via Shavano Ste 101, San Antonio, TX 78249-2359 | 2014-05-28 |
| 1376858217 | Charles H. Sargent, M.d., P.a. | Psychiatry & Neurology | 2832 Nacogdoches Rd, San Antonio, TX 78217-5827 | 2010-08-16 |
| 1730372400 | Leonard Eugene Lawrence | Psychiatry & Neurology | 3107 Sable Crk, San Antonio, TX 78259-2636 | 2007-08-24 |
| 1124140793 | Lydia R Lopez, M.d., P.a. | Psychiatry & Neurology | 12915 Jones Maltsberger Rd Ste 603, San Antonio, TX 78247-4256 | 2007-04-04 |
| 1942372057 | John Charles Burnside | Psychiatry & Neurology | 13535 Jones Maltsberger Rd, San Antonio, TX 78247-3928 | 2006-11-14 |
| 1558446153 | Moises Gonzalo Rodriguez | Psychiatry & Neurology | 8535 Wurzbach Rd Ste 108, San Antonio, TX 78240-1263 | 2006-10-25 |
| 1972695021 | Elizabeth L. Mitchell | Psychiatry & Neurology | 11124 Wurzbach Rd Ste 300, San Antonio, TX 78230-2445 | 2006-09-28 |
| 1659382174 | Brigitte Bailey | Psychiatry & Neurology | 7703 Floyd Curl Dr # 7792, Uthscsa. Dept of Psychiatry, San Antonio, TX 78229-3901 | 2006-08-10 |
| 1316980816 | James A Rogers | Psychiatry & Neurology | 211 Patterson Ave, San Antonio, TX 78209-6230 | 2006-06-13 |
| 1891738449 | Maria G Dominguez | Psychiatry & Neurology | 12050 Vance Jackson Rd, San Antonio, TX 78230-1182 | 2006-06-13 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78231 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.