ST MATTHEWS MEDICAL ASSOCIATES (NPI# 1538153309) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538153309 |
| Entity Type | Organization |
| Organization Name | ST MATTHEWS MEDICAL ASSOCIATES |
| Practice Address |
4003 Kresge Way Suite 400 Louisville KY 40207-4652 |
| Practice Telephone | 5028954263 |
| Practice Fax Number | 5028995488 |
| Mailing Telephone | 5028954263 |
| Mailing Fax Number | 5028995488 |
| Enumeration Date | 2005-09-07 |
| Last Update Date | 2010-03-23 |
| Authorized Official Name | DR. LAWRENCE J RUEFF (PARTNER) |
| Authorized Official Telephone | 5028954263 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | 18D0321241 | KY | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | UNITED HEALTHCARE REF LAB | 3500123 | 01 |
| KY | 65923682 | 05 | |
| KY | 1066874 | 05 |
| Street Address |
4003 KRESGE WAY SUITE 400 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40207-4652 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063415099 | Adrian J Pellegrini | Psychiatry & Neurology | 4003 Kresge Way, Ste 224, Louisville, KY 40207-4652 | 2005-05-23 |
| 1821534546 | Crystal Labbato | Nurse Practitioner | 4003 Kresge Way, Suite 100, Louisville, KY 40207-4652 | 2017-01-19 |
| 1255889721 | Alana Darnall | Nurse Practitioner | 4003 Kresge Way, Suite 228, Louisville, KY 40207-4652 | 2016-09-14 |
| 1376940569 | Stephanie Anne Wilson | Nurse Practitioner | 4003 Kresge Way, Suite 500, Louisville, KY 40207-4652 | 2014-12-03 |
| 1184026205 | Wendi Suzanne Haller | Nurse Practitioner | 4003 Kresge Way, Suite 312, Louisville, KY 40207-4652 | 2014-09-19 |
| 1336572601 | Baptist Health Medical Group Inc | Nurse Practitioner | 4003 Kresge Way, Suite 410, Louisville, KY 40207-4652 | 2013-08-09 |
| 1235430166 | Gigi Michelle Manuel | Nurse Practitioner | 4003 Kresge Way, Suite 100, Louisville, KY 40207-4652 | 2010-11-09 |
| 1669773511 | Whitney Dawn Perry | Nurse Practitioner | 4003 Kresge Way, Ste 500, Louisville, KY 40207-4652 | 2010-11-09 |
| 1215240627 | Shana Cassady | Nurse Practitioner | 4003 Kresge Way, Suite 500, Louisville, KY 40207-4652 | 2010-07-15 |
| 1487984514 | Baptist Health Medical Group Inc | Nurse Practitioner | 4003 Kresge Way, Suite 500, Louisville, KY 40207-4652 | 2010-01-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780212688 | Alexia Louise Bodamer | Student in an Organized Health Care Education/Training Program | 142 Chenoweth Lane, Lousiville, KY 40207 | 2020-03-28 |
| 1467918664 | Amy Rock LLC | Counselor | 4010 Dupont Cir Ste 307, Louisville, KY 40207 | 2019-02-13 |
| 1649745191 | Louisville Optometric Center, IIi, Psc | Optometrist | 285 Hubbards Lane, Suite 300, Louisville, KY 40207 | 2018-10-11 |
| 1184137440 | Crimson Dove Counseling Services Inc | Community/Behavioral Health | 214 Breckenridge Ln., Suite 203, Louisville, KY 40207 | 2017-11-09 |
| 1285157586 | Dickerson Family Enterprise, LLC | Non-emergency Medical Transport (VAN) | 4350 Brownsboro Rd., Ste. 110, Louisville, KY 40207 | 2017-07-19 |
| 1578085296 | Cardiovascular Medical Specialists LLC | Surgery | 100 Mallard Creek Rd Ste 150, Louisville, KY 40207 | 2017-07-14 |
| 1932636305 | Devon Turley | Prevention Professional | 1017 Dupont Rd, Suite 1, Louisville, KY 40207 | 2017-05-17 |
| 1285095539 | Emily Schwartz Crouch | Marriage & Family Therapist | 4010 Dupont Circle, Suite 582, Louisville, KY 40207 | 2016-03-15 |
| 1306201280 | A A and Associates Approved Alcohol/drug Program | Counselor | 4006 Dutchmans Lane, Louisville, KY 40207 | 2015-12-21 |
| 1629433693 | Jewish Hospital and St. Mary's Healthcare, Inc. | General Acute Care Hospital | 3290 Dutchmans Lane, Louisville, KY 40207 | 2015-12-17 |
| Find all providers in zip 40207 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215544549 | Pearl Diagnostic Laboratories, LLC | Clinical Medical Laboratory | 2202 Buechel Ave Ste 105d, Louisville, KY 40218-2672 | 2020-09-30 |
| 1659927333 | Hc Systems, LLC | Clinical Medical Laboratory | 1400 Browns Ln Ste C, Louisville, KY 40207-4696 | 2019-08-17 |
| 1861975062 | Eurofins Clinical Molecular Testing Services LLC | Clinical Medical Laboratory | 12701 Plantside Dr, Louisville, KY 40299-6388 | 2018-09-13 |
| 1093118192 | Phlebotomy Associates, LLC | Clinical Medical Laboratory | 10019 Dixie Hwy, Louisville, KY 40272-5916 | 2014-10-02 |
| 1932543683 | Shanita Lashawn Polk | Clinical Medical Laboratory | 3411 Sumac Rd, Louisville, KY 40216-3336 | 2013-04-24 |
| 1912188541 | University of Louisville | Clinical Medical Laboratory | 501 South Preston Street, Louisville, KY 40292-0001 | 2007-11-26 |
| 1932236148 | Medical Laboratory Consultants, Pllc | Clinical Medical Laboratory | 221 S Preston St, Louisville, KY 40202-1223 | 2007-02-27 |
| 1073596268 | Laboratory Corporation of America | Clinical Medical Laboratory | 5601 S 3rd St, Louisville, KY 40214-2615 | 2005-11-22 |
| 1891778080 | Laboratory Corporation of America | Clinical Medical Laboratory | 11751 Interchange Dr, Louisville, KY 40229-3126 | 2005-11-22 |
| 1366438707 | University of Louisville Research Foundation, Inc | Clinical Medical Laboratory | 511 S. Floyd Street, Room 203, Louisville, KY 40292-0001 | 2005-09-21 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40207 |
Please comment or provide details below to improve the information on ST MATTHEWS MEDICAL ASSOCIATES.
| 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.