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DR. STACI A MANDROLA MD NPI 1912129552


NPI Information

NPI: 1912129552
Provider Name: DR. STACI A MANDROLA, MD
Classification: Internal Medicine - 207RH0002X
Entity Type: Individual

Specialization: Hospice and Palliative Medicine

PECOS Registration: Yes

Address:
7504 WESTPORT RD
LOUISVILLE, KY
ZIP 40222
Phone: (502) 693-2681
Get Directions

DR. Staci A Mandrola, MD is a hospice and palliative medicine internal medicine in Louisville, KY. The provider is an internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care. DR. Staci A Mandrola, MD NPI is 1912129552. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

7504 WESTPORT RD
LOUISVILLE, KY
ZIP 40222-108
Phone: (502) 693-2681
Fax: (502) 456-9738

The NPI 1912129552 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/3/2007 and was last updated on 1/11/2013.


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
1207RH0002XInternal MedicineHospice and Palliative Medicine41139KENTUCKYYes

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
1P400035002MEDICARE PINKENTUCKY
23756448000OTHERKENTUCKYPASSPORT ADVANTAGE
3000000642419OTHERKENTUCKYANTHEM
401163001MEDICARE PINKENTUCKY
550026942OTHERKENTUCKYPASSPORT
6P00783342MEDICARE PINKENTUCKY
77100094260MEDICAIDKENTUCKY

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.