Provider Demographics
NPI:1558423038
Name:KAPLAN, MATTHEW AARON (DO)
Entity Type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:AARON
Last Name:KAPLAN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:170 DEEPWOOD DR
Mailing Address - Street 2:SUITE 102
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78681-4944
Mailing Address - Country:US
Mailing Address - Phone:512-255-7246
Mailing Address - Fax:512-255-7547
Practice Address - Street 1:170 DEEPWOOD DR
Practice Address - Street 2:SUITE 102
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78681-4944
Practice Address - Country:US
Practice Address - Phone:512-255-7246
Practice Address - Fax:512-255-7547
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-14
Last Update Date:2016-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOT011399207L00000X
MA238092207L00000X
TXP6985208VP0000X, 208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA110083211AMedicaid
MA0010072Medicare PIN