DR. MATTHEW S KEENE (NPI# 1184790164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184790164 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW S KEENE |
| Credential | M.D. |
| Practice Address |
12409 W Indian School Rd C-306 Avondale AZ 85392-9502 |
| Practice Telephone | 6237779970 |
| Practice Fax Number | 8884204978 |
| Mailing Telephone | 6237779970 |
| Mailing Fax Number | 8884204978 |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2013-10-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
23083 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | BCBS OF AZ | AZ0871440 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508967621 | Matthew S. Keene | Podiatrist | 4777 East State Street, Suite 8, Rockford, IL 61108 | 2006-09-25 |
| Street Address |
12409 W INDIAN SCHOOL RD C-306 |
| City | AVONDALE |
| State | AZ |
| Zip Code | 85392-9502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578538898 | Thomas Morgan | Chiropractor | 12409 W Indian School Rd, #b-210, Avondale, AZ 85392-9502 | 2006-02-21 |
| 1407480932 | Melanie Lee Boltze | Registered Nurse | 12409 W Indian School Rd, Avondale, AZ 85392-9502 | 2020-02-24 |
| 1275937740 | Thomas Healthcare | Pain Medicine | 12409 W Indian School Rd, 210, Avondale, AZ 85392-9502 | 2014-10-13 |
| 1205239225 | Jackson Healthcare | Pain Medicine | 12409 W Indian School Rd, 210, Avondale, AZ 85392-9502 | 2014-10-04 |
| 1508104324 | Emily Kay Johnston | Physician Assistant | 12409 W Indian School Rd, Building E, Avondale, AZ 85392-9502 | 2013-01-29 |
| 1134482631 | Chad Michael Wikan | Nurse Practitioner | 12409 W Indian School Rd, Suite #b210, Avondale, AZ 85392-9502 | 2012-06-19 |
| 1881901452 | Tara Joy Marshall | Specialist/Technologist | 12409 W Indian School Rd, Suite C306, Avondale, AZ 85392-9502 | 2010-09-02 |
| 1528373552 | Jeffry Michael Pollock | Specialist/Technologist | 12409 W Indian School Rd, C306, Avondale, AZ 85392-9502 | 2010-08-13 |
| 1700033412 | 60002 Avondale Rehabilitation Center | Chiropractor | 12409 W Indian School Rd, B210, Avondale, AZ 85392-9502 | 2008-08-25 |
| 1861658361 | Janna Renee Gess | Occupational Therapy Assistant | 12409 W Indian School Rd, Avondale, AZ 85392-9502 | 2008-08-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972100063 | Arizona Imaging Center, LLC | Radiology | 10825 W Mcdowell Rd Suite 130, Avondale, AZ 85392 | 2020-10-02 |
| 1376159053 | Quick Med Center LLC | Clinic/Center | 10825 W Mcdowell Rd Suite 100, Avondale, AZ 85392 | 2020-09-18 |
| 1225641046 | Ambulatory Surgery Centers, LLC | Clinic/Center | 10825 W Mcdowell Rd Suite 110, Avondale, AZ 85392 | 2020-08-31 |
| 1144842394 | National Cardiovascular Surgery Center, LLC | Clinic/Center | 10825 W Mcdowell Rd, Suite 310, Avondale, AZ 85392 | 2020-05-11 |
| 1073077145 | Lakeview Dentistry P.C., Inc. | Dentist | 10750 W. Mcdowell Road, Bldg. D410, Avondale, AZ 85392 | 2019-01-23 |
| 1699249458 | Elaine Van De Wille | Student in an Organized Health Care Education/Training Program | 3609 N 109th Ave, Avondale, AZ 85392 | 2019-01-15 |
| 1750890075 | West Valley Pediatrics | Nurse Practitioner | 10750 West Mcdowell Rd, Suite G700, Avondale, AZ 85392 | 2017-09-29 |
| 1336675305 | Hope-ann Kamler | Licensed Practical Nurse | 2150 North Santa Fe Blvd, Avondale, AZ 85392 | 2017-05-11 |
| 1790237527 | Visionworks, Inc | Eyewear Supplier (Equipment, not the service) | 10285 West Mcdowell Rd, Ste A-102, Avondale, AZ 85392 | 2016-10-27 |
| 1063969137 | Lorri Ward | Registered Nurse | 12750 W Coronado Rd, Avondale, AZ 85392 | 2016-09-07 |
| Find all providers in zip 85392 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952414401 | Dorothy Piekut | Psychiatry & Neurology | 10550 W Mcdowell Rd, Avondale, AZ 85392-4864 | 2006-08-17 |
| 1336761550 | Vallee Psychiatry LLC | Psychiatry & Neurology | 10550 W Mcdowell Rd, Avondale, AZ 85392-4864 | 2020-05-11 |
| 1740222025 | Gorky Herrera | Psychiatry & Neurology | 10320 W Mcdowell Rd, G-7024, Avondale, AZ 85392-4863 | 2006-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508466244 | Adam Colbert Md, Pllc | Psychiatry & Neurology | 2550 E River Rd Unit 13205, Tucson, AZ 85718-9527 | 2020-10-30 |
| 1629689922 | Cerebro Wellness LLC | Psychiatry & Neurology | 3031 W Northern Ave Ste 109, Phoenix, AZ 85051-6695 | 2020-08-11 |
| 1972121218 | Laxus Integrated Health Solutions LLC | Psychiatry & Neurology | 11225 N 28th Dr Ste A102-4, Phoenix, AZ 85029-5606 | 2020-07-13 |
| 1174148076 | Spark Healthcare LLC | Psychiatry & Neurology | 8906 North 80th Place, Scottsdale, AZ 85258-2132 | 2020-06-16 |
| 1184257032 | Actify Neurotherapies, Pllc | Psychiatry & Neurology | 10720 W Indian School Rd Ste 19, Phoenix, AZ 85037-5799 | 2020-02-19 |
| 1851922512 | Mettamerica | Psychiatry & Neurology | 600 E State Highway 260 Ste 2, Payson, AZ 85541-4967 | 2020-01-31 |
| 1003470840 | Katherine Cheeves Md, Pllc | Psychiatry & Neurology | 141 S Mccormick St Ste 112, Prescott, AZ 86303-4730 | 2019-04-26 |
| 1336702448 | Julie Tomkins | Psychiatry & Neurology | Behavioral Health Pavilion, 2800 E Ajo Way, Tucson, AZ 85713 | 2019-04-16 |
| 1053974071 | Siddesh Gopalakrishnan | Psychiatry & Neurology | Department of Psychiatry, Bhp, 2800 E. Ajo Way, Tucson, AZ 85713-6204 | 2019-04-16 |
| 1124681358 | Alexander Paul Lang | Psychiatry & Neurology | 2800 E Ajo Way Dept Of, Tucson, AZ 85713-6204 | 2019-04-14 |
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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.