MR. KEVIN CHARLES MATTHEWS (NPI# 1093887440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093887440 |
| Entity Type | Individual |
| Full Name | MR. KEVIN CHARLES MATTHEWS |
| Credential | LO |
| Practice Address |
12315 Judson Rd #206 Live Oak TX 78233-3277 |
| Practice Telephone | 2106578100 |
| Practice Fax Number | 2106578105 |
| Mailing Telephone | 2106578100 |
| Mailing Fax Number | 2106578105 |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2007-12-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 222Z00000X | Orthotist | 558 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740783893 | Kevin M. Matthews | Speech-Language Pathologist | 10 E College Ave Ste 300, Appleton, WI 54911-5759 | 2018-03-15 |
| 1700842168 | Kevin Patrick Matthews | Dentist | 4210 N Roxboro Rd, Ste 130, Durham, NC 27704 | 2006-04-25 |
| 1639531163 | Kevin Matthews | Social Worker | 2001 River Ave, Long Beach, CA 90810-3622 | 2016-03-23 |
| 1932525490 | Kevin Matthews | Counselor | 592 Rio Lindo Ave, Chico, CA 95926-1817 | 2014-03-07 |
| Street Address |
12315 JUDSON RD #206 |
| City | LIVE OAK |
| State | TX |
| Zip Code | 78233-3277 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013914498 | Stephen Edward Earle | Orthopaedic Surgery | 12315 Judson Rd, # 208, Live Oak, TX 78233-3277 | 2005-06-30 |
| 1508239542 | Sai Lifecare Pharmacy | Pharmacy | 12315 Judson Rd, Suite- 108, Live Oak, TX 78233-3277 | 2015-11-12 |
| 1306213277 | Katelyn J Smith | Physical Therapist | 12315 Judson Rd, Live Oak, TX 78233-3277 | 2015-08-27 |
| 1053633479 | Village Oaks Pathology Services, P.a. | Clinical Medical Laboratory | 12315 Judson Rd, Suite 318, Live Oak, TX 78233-3277 | 2010-02-26 |
| 1730325887 | Douglas A Taylor | Prosthetist | 12315 Judson Rd, Live Oak, TX 78233-3277 | 2008-12-19 |
| 1245402981 | Robert A. Horvath M.d. P.a. | Internal Medicine | 12315 Judson Rd, Suite 210, Live Oak, TX 78233-3277 | 2008-04-01 |
| 1588832943 | Stephen E. Earle M.d. P.a. | Orthopaedic Surgery | 12315 Judson Rd, Suite 208, Live Oak, TX 78233-3277 | 2008-02-19 |
| 1811197155 | Ryke Rehabilitation, LLC | Physical Therapist | 12315 Judson Rd, 200, Live Oak, TX 78233-3277 | 2007-07-24 |
| 1154531333 | Ami R Bhalodia | Pathology | 12315 Judson Rd, Suite 114, Live Oak, TX 78233-3277 | 2007-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477162451 | Jennifer Chaghoury | Chore Provider | 4606 La Marquesa St, San Antonio, TX 78233 | 2020-07-27 |
| 1912515719 | Creative Health Care Management, LLC | Physical Therapist | 4415 Rio D'oro St, San Antonio, TX 78233 | 2020-07-17 |
| 1841822749 | Edilma Yosmara Medrano | Nurse's Aide | 209 Goforth Drive, San Antonio, TX 78233 | 2020-02-07 |
| 1578194411 | Jorge Javier Jaramillo De La Torre | Neurological Surgery | Cuauhtemoc 380, Col. Moderna, San Luis Potosi, SLP 78233 | 2020-01-29 |
| 1174182000 | Shenila Rajani Od Pllc | Optometrist | 12349 I-35, San Antonio, TX 78233 | 2019-06-13 |
| 1659935609 | Mff Amber Oaks LLC | Assisted Living Facility | 4415 Rio Doro St., San Antonio, TX 78233 | 2019-04-25 |
| 1457862302 | Antoinette Marie Powell | Massage Therapist | 14615 Interstate 35 N, Live Oak, TX 78233 | 2017-10-18 |
| 1154852150 | Dustin William Koenning | Pharmacist | 6019 Randolph Blvd., San Antonio, TX 78233 | 2017-03-22 |
| 1316481153 | U S Anesthesia Partners of Texas, Pa | Physician Assistant | 12602 Toepperwein Rd Ste 218, Live Oak, TX 78233 | 2016-12-13 |
| 1477096121 | Vanessa's Garden of Hope Assisted Living,llc | Assisted Living Facility | 4350 Shallow Water, San Antonio, TX 78233 | 2016-11-29 |
| Find all providers in zip 78233 | ||||
| Taxonomy Code | 222Z00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Orthotist |
| A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548869225 | Anna Christine Brown | Orthotist | 12880 Hillcrest Rd Ste J216, Dallas, TX 75230-1532 | 2020-10-22 |
| 1861009912 | Sarah Spinelli | Orthotist | 555 D Round Rock West Drive, Suite 100, Round Rock, TX 78681 | 2020-09-23 |
| 1639713597 | Amanda Coldren | Orthotist | 6011 Harry Hines Blvd Ste 302, Dallas, TX 75235-5386 | 2019-11-04 |
| 1184266785 | Duran H Pardue | Orthotist | 6011 Harry Hines Blvd Fl 2, Dallas, TX 75235-5386 | 2019-10-15 |
| 1326692351 | Steven Gomez Herrera Sr. | Orthotist | 7410 John Smith Dr Ste 213, San Antonio, TX 78229-6000 | 2019-07-29 |
| 1669034831 | Madeline Maya Gougeon | Orthotist | Hope Orthotics, LLC - Attn: Maya Gougeon, Lo, 230 Spring Hill Drive, Suite 335, Spring, TX 77386-2388 | 2019-07-08 |
| 1275048852 | Phuoc Nguyen | Orthotist | 1721 W Plano Pkwy Ste 212, Plano, TX 75075 | 2017-12-05 |
| 1316452147 | Abigail Catherine Genet | Orthotist | 6011 Harry Hines Blvd Suite V5.400, Dallas, TX 75390-0001 | 2017-12-01 |
| 1407370414 | Katelyn Suzanne Cummings | Orthotist | 230 Spring Hill Dr Ste 335, Spring, TX 77386-2388 | 2017-08-01 |
| 1154843647 | Nicholas Robison Brown | Orthotist | 6011 Harry Hines Blvd Ste V2302, Dallas, TX 75235-5386 | 2017-07-17 |
| Find all providers with the same taxonomy | ||||
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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.