Staci A Mandrola in Louisville - Hospice And Palliative Medicine

Staci A Mandrola - NPI 1912129552

Staci A Mandrola is a Hospice And Palliative Medicine in Louisville, Kentucky. Staci A Mandrola practices all healthcare services and medical treatments related to Hospice And Palliative Medicine. The NPI Number for Staci A Mandrola is 1912129552. The last update date is 2013-01-11.

Staci A Mandrola's current location address is 7504 Westport Rd, Louisville, Kentucky. You can contact this provider via phone number 5026932681 and fax number 5024569738. The mailing address for Staci A Mandrola is 7504 Westport Rd, Louisville, Kentucky. To know further, please read the information below!

Provider Profile Detail

Provider Name Staci A Mandrola
Address 7504 Westport Rd, Louisville, Kentucky
Phone Number 5026932681
Fax Number 5024569738
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1912129552
Provider Enumeration Date 2007-05-03
Last Updated Date 2013-01-11

Provider Mailing Address Detail

Address 7504 Westport Rd
City Louisville
State Kentucky (KY)
Post Code 402224108
Phone Number 5026932681
Fax Number 5024569738

Provider's Primary Taxonomy Detail

Speciality Hospice And Palliative Medicine
Taxonomy 207Rh0002X
Licence No 41139
Definition:
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 qu

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
642419 KY ANTHEM
3756448000 KY PASSPORT ADVANTAGE
7100094260 KY --
50026942 KY PASSPORT

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FAQs about Staci A Mandrola

What is the unique 10-digit identifier code issued to Staci A Mandrola by the Centers for Medicare & Medicaid Services?

The Staci A Mandrola has been assigned the NPI (National Provider Identifier) 1912129552 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Staci A Mandrola's facilities are geographically located?

The facilities of Staci A Mandrola are physically situated at the following location: 7504 Westport Rd, Louisville, KY, 402224108.

What is Staci A Mandrola's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Staci A Mandrola is Hospice And Palliative Medicine, and the taxonomy code that classifies this field of practice is 207Rh0002X.

On what date did Staci A Mandrola receive its 1912129552 assignment from the Centers for Medicare & Medicaid Services?

The Staci A Mandrola was assigned its 1912129552 on 2007-05-03, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Staci A Mandrola, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Staci A Mandrola, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2013-01-11.

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