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ONEMD ST MATTHEWS PLLC NPI 1639594344


NPI Information

NPI: 1639594344
Provider Name: ONEMD ST MATTHEWS PLLC

Doing Business As: ONEMD ST. MATTHEWS

Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 18D2076979

Address:
112 SEARS AVE
LOUISVILLE, KY
ZIP 40207
Phone: (502) 238-2163
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ONEMD ST MATTHEWS PLLC is an internal medicine in Louisville, KY. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. ONEMD ST MATTHEWS PLLC NPI is 1639594344. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Onemd St. Matthews.

The provider's business location address is:

112 SEARS AVE
LOUISVILLE, KY
ZIP 40207-014
Phone: (502) 238-2163
Fax: (502) 238-2173

The provider's authorized official is John Varga .
The authorized official title is Partner and has the following contact phone number (502) 899-7163.

The CLIA number assigned to this NPI record is 18D2076979 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/4/2014 and was last updated on 3/4/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal Medicine34957KENTUCKYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1H47584MEDICARE UPINKENTUCKY
2000026447NOTHERKENTUCKYHUMANA
3110235213OTHERKENTUCKYRAILROAD MEDICARE
40361931MEDICARE PINKENTUCKY
5000000225513OTHERKENTUCKYANTHEM

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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