DR. CARL G MATTACOLA


Address: 900 South Limestone, Lexington, KY 40536-0001
Phone: 8593231100

DR. CARL G MATTACOLA (NPI# 1225000706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1225000706
Entity Type Individual
Full Name DR. CARL G MATTACOLA
Credential PHD
Practice Address 900 South Limestone
Lexington
KY 40536-0001
Mailing Address Indigo Farm
2282 Danville Road
Harrodsburg
KY 40330
Practice Telephone 8593231100
Practice Fax Number 8593236003
Mailing Telephone 8593231100
Mailing Fax Number 8593236003
Enumeration Date 2006-02-07
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 246Z00000X Specialist/Technologist, Other AT 400 KY Technologists, Technicians & Other Technical Service Providers
Y 246Z00000X Specialist/Technologist, Other AT400 KY Technologists, Technicians & Other Technical Service Providers

Office Location

Street Address 900 SOUTH LIMESTONE
City LEXINGTON
State KY
Zip Code 40536-0001

Providers in the same location

NPI Name Taxonomy Address Enumeration
1326581612 Carrie Baker Specialist/Technologist 900 South Limestone, 210b, Lexington, KY 40509 2016-11-18

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1790394583 Mary Luz Calderon Physician Assistant Uk Pediatric Neonatology, 800 Rose St 4th Fl, Lexington, KY 40536 2020-07-28
1598389421 Storm Bryant Dutton Physician Assistant Uk Emergency Department - Chandler, 1000 S Limestone, Lexington, KY 40536 2020-06-06
1720601545 Tyler Allen Pape Physician Assistant Uk Surgery Clinic - General, 740 S Limestone Ste L104, Lexington, KY 40536 2020-05-27
1417579269 Kacy Clinkenbeard Physician Assistant Uk Healthcare-icu, 800 Rose St, Lexington, KY 40536 2020-05-15
1023578804 William Chalmers Ruffin Student in an Organized Health Care Education/Training Program 740 South Limestone St. E300e, Lexington, KY 40536 2019-03-20
1942705728 Karah Lee Ellen Brown Dentist 800 Rose Street, Room D-508, Lexington, KY 40536 2018-03-26
1982109708 Khader Samir Habash Dentist 740 S Limestone Room A262, Lexington, KY 40536 2018-03-25
1609370683 Casey Michael Fitzgerald Otolaryngology 740 South Limestone Ears Nose and Throat Clinic, Lexington, KY 40536 2018-03-22
1538663992 Heather Oaks Nurse Practitioner Uk Gill Heart Institute 800 Rose St, Lexington, KY 40536 2018-03-21
1396268223 Prasanna Kumar Gangishetti Pediatrics 800 Rose St Rm No Mn-118, Lexington, KY 40536 2017-07-23
Find all providers in zip 40536

Taxonomy Information

Taxonomy Code 246Z00000X
Grouping Technologists, Technicians & Other Technical Service Providers
Classification Specialist/Technologist, Other

Taxonomy Definition

General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1780854513 Linda J Gassaway Specialist/Technologist, Other 961 Beasley St, Ste. 140, Lexington, KY 40509-4131 2008-03-07
1356792725 Kate Jochimsen Specialist/Technologist, Other University of Kentucky, 900 South Limestone, Lexington, KY 40536-0001 2016-06-28
1760727275 Jonathan Beck Specialist/Technologist, Other 771 Corporate Dr, Suite 610, Lexington, KY 40503-5405 2012-12-10
1053656728 Rachel Vanlaningham Specialist/Technologist, Other 771 Corporate Dr, Suite 610, Lexington, KY 40503-5405 2012-12-06
1427304096 Nicole Lafountain Specialist/Technologist, Other 771 Corporate Dr, Suite 610, Lexington, KY 40503-5405 2012-08-01
1922354570 Brittany Douglas Specialist/Technologist, Other 771 Corporate Dr, Suite 610, Lexington, KY 40503-5405 2012-08-01
1619234325 Kayla M Downing Specialist/Technologist, Other 771 Corporate Dr, Suite 610, Lexington, KY 40503-5405 2012-04-19
1386857407 University of Kentucky Medical Center Specialist/Technologist, Other 800 Rose St, 306 Combs Building, Lexington, KY 40536-0001 2007-05-07

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1720693104 James G. Thornton Specialist/Technologist, Other 2409 Ring Road, Suite 106, Elizabethtown, KY 42701 2020-09-11
1871151407 Andrea Wiggins Clark Specialist/Technologist, Other 9482 Brownsboro Rd, Louisville, KY 40241-1118 2019-05-29
1558602110 Kentucky Diagnostics Specialist/Technologist, Other 7321 New L Agrange Road, Suite 207, Louisville, KY 40222 2013-03-07
1447562632 Kara Elizabeth Smith Specialist/Technologist, Other 1300 Academy Dr, Hopkinsville, KY 42240-2654 2010-07-05
1053643346 Aida Sehic Specialist/Technologist, Other 3005 Springcrest Dr, Louisville, KY 40241-2755 2010-02-11
1093948622 Kelly Ford Specialist/Technologist, Other 2200 E Parrish Ave., Bldg B, Ste 203, Owensboro, KY 42303 2009-08-31
1831348069 Elmer M Tribble Specialist/Technologist, Other 9205 Rainbow Springs Ct, Apt. 5, Louisville, KY 40241-2243 2008-09-11
1306094024 Daniel Edward Crowley Specialist/Technologist, Other 149 Raleigh Dr, Apt. 1e, Elizabethtown, KY 42701-4135 2008-09-06
1780870378 Vivid Diagnostic Specialist/Technologist, Other 132 Grand Vue Plz, Unit 6, Hazard, KY 41701-6842 2007-09-18
1134329469 Monica Moss Shelton Specialist/Technologist, Other 382 Irish Cir, Hopkinsville, KY 42240-1779 2007-07-24
Find all providers with the same taxonomy

Competitor

Search similar providers

City LEXINGTON
Zip Code 40536

Improve Information

Please comment or provide details below to improve the information on DR. CARL G MATTACOLA.

Dataset Information

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.

Trending Searches