DR. ROSHAN K. MATHEW (NPI# 1093820953) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093820953 |
| Entity Type | Individual |
| Full Name | DR. ROSHAN K. MATHEW |
| Credential | M.D. |
| Practice Address |
3110 Fairview Dr Owensboro KY 42303-2175 |
| Mailing Address |
2609 New Hartford Rd Owensboro KY 42303-1316 |
| Practice Telephone | 2702402129 |
| Mailing Telephone | 2702401747 |
| Mailing Fax Number | 2702401748 |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2018-12-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
39846 | KY | Allopathic & Osteopathic Physicians |
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
39846 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 64121510 | 05 | |
| IN | 200900130 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1301 Pleasant Valley Rd, Suite 202, Owensboro, KY 423039774 | 2704177500 | 2704177509 |
| 3110 Fairveiw Drive, Owensboro, KY 42303 | 2702402129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598243701 | Roshan Mathew | Physician Assistant | 535 E 70th St, New York, NY 10021-4823 | 2018-07-31 |
| 1396174322 | Roshan Mathew | Physical Therapist | 2200 W White River Blvd, Muncie, IN 47303-8943 | 2013-11-12 |
| 1346275633 | Roshan Kuzhiveli Mathew | Emergency Medicine | 701 Grove Rd, Gmh Er Administration, Greenville, SC 29605-5611 | 2006-07-12 |
| Street Address |
3110 FAIRVIEW DR |
| City | OWENSBORO |
| State | KY |
| Zip Code | 42303-2175 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366058422 | Jeremy Michael Payne | Nurse Practitioner | 3110 Fairview Dr, Owensboro, KY 42303-2175 | 2020-09-23 |
| 1801418686 | Anjali D Cunningham | Nurse Practitioner | 3110 Fairview Dr, Owensboro, KY 42303-2175 | 2020-05-14 |
| 1437707478 | Ethan James Hall | Physician Assistant | 3110 Fairview Dr, Owensboro, KY 42303-2175 | 2019-09-03 |
| 1063966778 | Roshan K Mathew, Md. P.s.c. | Internal Medicine | 3110 Fairview Dr, Owensboro, KY 42303-2175 | 2016-08-10 |
| 1487835732 | Veletta Beatty | Nurse Practitioner | 3110 Fairview Dr, Owensboro, KY 42303-2175 | 2007-11-15 |
| 1013071760 | Robert William Adams | Psychologist | 3110 Fairview Dr, Room 114, Owensboro, KY 42303-2175 | 2006-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881218121 | Strive Health Ky LLC | Clinic/Center | 4511 Springhill Road, Owensboro, KY 42303 | 2020-06-02 |
| 1952921991 | Carl P Lewis | Pharmacist | Nation's Medicines, 3000 Alvey Park Drive West, Owensboro, KY 42303 | 2020-04-20 |
| 1386292621 | Alexandra Freudenberg | Occupational Therapist | 2605 New Hartford Road, Owensboro, KY 42303 | 2019-08-29 |
| 1457843815 | Deaconess Clinic Inc | Family Medicine | 2710 Heartland Crossing Blvd, Owensboro, KY 42303 | 2018-06-01 |
| 1225525520 | Claudia Abrams | Nurse Practitioner | 3245 Mount Moriah Ave Ste 10, Owensboro, KY 42303 | 2018-04-23 |
| 1245751965 | Play Works Pediatric Therapy | Early Intervention Provider Agency | 4551 Indian Creek Loop, Owensboro, KY 42303 | 2017-07-03 |
| 1518490952 | Sue Lindsey | Social Worker | 1100 Walnut St., Owensboro, KY 42303 | 2017-04-04 |
| 1972034163 | Megan Nichole Meredith | Counselor | 2707 Breckenridge Street, Suite 4, Owensboro, KY 42303 | 2017-03-21 |
| 1275077786 | Physicians Affiliated Care, Psc | Family Medicine | 2710 Heartland Crossings, Suite B, Owensboro, KY 42303 | 2016-12-19 |
| 1790168516 | Kelli D. Brown | Nurse Practitioner | 2816 Veach Rd Ste 403, Owensboro, KY 42303 | 2015-06-30 |
| Find all providers in zip 42303 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063966778 | Roshan K Mathew, Md. P.s.c. | Internal Medicine | 3110 Fairview Dr, Owensboro, KY 42303-2175 | 2016-08-10 |
| 1982719852 | Green River Heart Institute, P.s.c. | Internal Medicine | 815 E Parrish Ave, Suite 240, Owensboro, KY 42303-3222 | 2006-08-20 |
| 1760481824 | Michael J Jarvis | Internal Medicine | 815 E Parrish Ave, Suite 330, Owensboro, KY 42303-3222 | 2005-07-20 |
| 1386643518 | Choice Medical Care, Psc | Internal Medicine | 815 E Parrish Ave, Suite 330, Owensboro, KY 42303-3222 | 2005-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093250615 | Advanced Vascular Institute | Internal Medicine | 1374 Highway 192 E, London, KY 40741-3123 | 2017-01-05 |
| 1659770733 | Scott C Harris Do Pllc | Internal Medicine | 112 Windmere Dr, Bowling Green, KY 42103-8720 | 2014-08-14 |
| 1457554750 | Tullio Emanuele Md, Psc | Internal Medicine | 720 Second Street, Suite 204, Bowling Green, KY 42101-5852 | 2007-06-06 |
| 1083823421 | Our Lady of Bellefonte Hospital | Internal Medicine | 1180 Saint Christopher Dr, Ste. 2, Ashland, KY 41101-7055 | 2007-05-22 |
| 1750359857 | Michele A Friday | Internal Medicine | 1180 Saint Christopher Dr Ste 2, Ashland, KY 41101-7055 | 2006-03-14 |
| 1740255314 | Avichai Eres | Internal Medicine | 161 N Eagle Creek Dr, Suite 400, Lexington, KY 40509-9038 | 2006-02-17 |
| 1053310409 | Mohammed Kazimuddin | Internal Medicine | 825 Second Ave, Ste B1, Bowling Green, KY 42101 | 2005-07-19 |
| 1235645607 | Appalachian Vascular Institute, Pllc | Internal Medicine | 243 Roy Campbell Dr Ste B, Hazard, KY 41701-9485 | 2017-12-21 |
| 1770001877 | Owensboro Health Medical Group, Inc. | Internal Medicine | 2025 W Everly Brothers Blvd, Powderly, KY 42367-5401 | 2017-09-08 |
| 1346788023 | Julie Reinstatler | Internal Medicine | 800 Rose St, Lexington, KY 40536-7001 | 2017-02-02 |
| Find all providers with the same taxonomy | ||||
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| 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.