KENNETH D. MATEJKA (NPI# 1043218639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043218639 |
| Entity Type | Individual |
| Full Name | KENNETH D. MATEJKA |
| Credential | M.D. |
| Practice Address |
1812 S Alameda St Corpus Christi TX 78404 |
| Mailing Address |
1812 S Alameda St Corpus Christi TX 78404-2933 |
| Practice Telephone | 3618877000 |
| Practice Fax Number | 3615613185 |
| Mailing Telephone | 3618877000 |
| Mailing Fax Number | 3615613185 |
| Enumeration Date | 2005-07-08 |
| Last Update Date | 2019-10-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
L7033 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 1597502-01 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1521 S Staples St, Suites 104, 301 & 304, Corpus Christi, TX 784043150 | 3618877000 | 3615613101 |
| 1776 Billy G Webb, Portland, TX 783743706 | 3618877000 | 3615613185 |
| 2000 Dr N W Atkinson Blvd Ste 801, Alice, TX 783324241 | 3618877000 | 3615613185 |
| 3929 River East Dr, Corpus Christi, TX 784105101 | 3618877000 | 3615613185 |
| 5742 Spohn Dr, Corpus Christi, TX 784144116 | 3618877000 | 3615613185 |
| Street Address |
1812 S ALAMEDA ST |
| City | CORPUS CHRISTI |
| State | TX |
| Zip Code | 78404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629073887 | Richard P. Chepey | Radiology | 1812 S Alameda St, Corpus Christi, TX 78404-2933 | 2005-06-15 |
| 1194022236 | Alexander Craft | Radiology | 1812 S Alameda St, Corpus Christi, TX 78404-2933 | 2011-02-25 |
| 1588816136 | Mailan M. Cao | Radiology | 1812 S Alameda St, Corpus Christi, TX 78404-2933 | 2008-10-15 |
| 1922264571 | Aaron Thomas Moon | Radiology | 1812 S Alameda St, Corpus Christi, TX 78404-2933 | 2008-08-04 |
| 1669440228 | David Keith Williams | Radiology | 1812 S Alameda St, Corpus Christi, TX 78404-2933 | 2006-03-09 |
| 1093706483 | Ning Huang | Radiology | 1812 S Alameda St, Corpus Christi, TX 78404-2933 | 2005-11-03 |
| 1669466256 | Jennifer E Turner | Radiology | 1812 S Alameda St, Corpus Christi, TX 78404-2933 | 2005-09-09 |
| 1164420923 | David D. Wilson | Radiology | 1812 S Alameda St, Corpus Christi, TX 78404-2933 | 2005-07-14 |
| 1083612576 | David Burk Strong | Radiology | 1812 S Alameda St, Corpus Christi, TX 78404-2933 | 2005-07-08 |
| 1295733822 | Charles B. Gover-mendez | Radiology | 1812 S Alameda St, Corpus Christi, TX 78404-2933 | 2005-07-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942810866 | Eileen Michelle Isaacs | Social Worker | 1315 Sante Fe St. Ste. 215, Corpus Christi, TX 78404 | 2020-08-05 |
| 1386109791 | Sanil John | Specialist/Technologist, Other | South Texas Brain and Spine Centers, 1227 3rd St, Corpus Christi, TX 78404 | 2019-02-11 |
| 1114422599 | Paul Jackson | Student in an Organized Health Care Education/Training Program | 600 Elizabeth St, Gme, Corpus Christi, TX 78404 | 2018-03-27 |
| 1740704303 | Edwin Gabriel Otero | Student in an Organized Health Care Education/Training Program | 600 Elizabeth St # 9b, Corpus Christi, TX 78404 | 2017-07-26 |
| 1053832170 | Melissa D Ponder | Emergency Medicine | 600 Elizabeth St Ste 6b, Corpus Christi, TX 78404 | 2017-06-28 |
| 1821533480 | Collen Mora | Nurse Practitioner | 1533 5th Street, Coprus Christi, TX 78404 | 2017-01-05 |
| 1013365717 | Terri L Sutphin | Speech-Language Pathologist | 1001 Louisiana Ave., Ste #402, Corpus Christi, TX 78404 | 2016-06-03 |
| 1982067872 | Janareddy Mandadi | Pharmacist | 1335 Santa Fe, Shoreline Pharmacy, Corpus Christi, TX 78404 | 2016-03-30 |
| 1932514007 | Debra Carpenter Guzman | Nurse Practitioner | 1600 S Staples, Ste 150, Corpus Christi, TX 78404 | 2014-06-26 |
| 1083037451 | Michelle Lynn Freshcoln Talbert | Registered Nurse | 309 Ohio Ave., Corpus Christi, TX 78404 | 2014-01-21 |
| Find all providers in zip 78404 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609064971 | Oncology Services of Corpus Christi LLC | Radiology | 1625 Rodd Field Road, Suite 200, Corpus Christi, TX 78412 | 2007-10-11 |
| 1427249614 | Michael Wayne Michell | Radiology | 5742 Spohn Dr, Corpus Christi, TX 78414-4116 | 2007-08-05 |
| 1154427813 | Jon Thomas Watson | Radiology | 14838 Cobo De Bara Cir, Corpus Christi, TX 78418-6908 | 2006-09-16 |
| 1558311340 | Radiology Associates LLP | Radiology | 1812 S. Alameda, Corpus Christi, TX 78404 | 2006-05-11 |
| 1538123138 | Jeffrey M Bikle | Radiology | 3226 Reid Dr, Corpus Christi, TX 78404-2552 | 2006-04-12 |
| 1972586543 | Yuming Yin | Radiology | 4444 Corona Dr, Suite 200, Corpus Christi, TX 78411-4324 | 2005-11-28 |
| 1255312633 | Corpus Christi Radiology | Radiology | 3554 S Alameda St, Corpus Christi, TX 78411-1722 | 2005-11-11 |
| 1790770261 | Parina Gupta Cho | Radiology | 7033 Adcote Dr, Corpus Christi, TX 78413-5329 | 2005-09-12 |
| 1720072408 | Alexander T Aitken | Radiology | 3226 S Alameda St, Corpus Christi, TX 78404-2508 | 2005-09-08 |
| 1629073887 | Richard P. Chepey | Radiology | 1812 S Alameda St, Corpus Christi, TX 78404-2933 | 2005-06-15 |
| Find all providers in CORPUS CHRISTI | ||||
| City | CORPUS CHRISTI |
| Zip Code | 78404 |
Please comment or provide details below to improve the information on KENNETH D. MATEJKA.
| 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.