DR. NICHOLAS CHARLES MATTINGLY (NPI# 1679609929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679609929 |
| Entity Type | Individual |
| Full Name | DR. NICHOLAS CHARLES MATTINGLY |
| Practice Address |
800 Zorn Ave Gec Division Louisville KY 40206-1433 |
| Practice Telephone | 5022874000 |
| Mailing Telephone | 5022874000 |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2013-03-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 42491 | KY | Allopathic & Osteopathic Physicians |
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
42491 | KY | Allopathic & Osteopathic Physicians |
| N | 207RH0002X |
Internal Medicine Specialization: Hospice and Palliative Medicine |
42491 | KY | Allopathic & Osteopathic Physicians |
| Street Address |
800 ZORN AVE GEC DIVISION |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40206-1433 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609879162 | Leah D Phillips-black | Nurse Practitioner | 800 Zorn Ave, Louisville, KY 40206-1433 | 2005-05-27 |
| 1477150464 | Erika Alexandra Belloso Gonzalez | Dietitian, Registered | 800 Zorn Ave, Louisville, KY 40206-1433 | 2020-10-03 |
| 1871100180 | Allana Boone | Dietitian, Registered | 800 Zorn Ave, Louisville, KY 40206-1433 | 2020-09-30 |
| 1245847458 | Ellyn Schill | Pharmacist | 800 Zorn Ave, Louisville, KY 40206-1433 | 2020-09-30 |
| 1750996377 | Shirley Ann Willis | Recreation Therapist | 800 Zorn Ave, Louisville, KY 40206-1433 | 2020-09-10 |
| 1902411523 | Sarah Michelle Mizell | Recreation Therapist | 800 Zorn Ave, Louisville, KY 40206-1433 | 2020-09-10 |
| 1477171171 | Kimberly Williams | Clinic/Center | 800 Zorn Ave, Louisville, KY 40206-1433 | 2020-07-08 |
| 1851918817 | Jessica Christine Piercy | Pharmacist | 800 Zorn Ave, Louisville, KY 40206-1433 | 2020-06-25 |
| 1477179851 | Kayla Janbakhsh | Pharmacist | 800 Zorn Ave, Louisville, KY 40206-1433 | 2020-06-22 |
| 1396369179 | Sydney Elizabeth Sims | Physician Assistant | 800 Zorn Ave, Louisville, KY 40206-1433 | 2020-06-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285243477 | Stephanie Atherton | Nurse Practitioner | 1623 Story Ave, Louisville, KY 40206 | 2020-07-24 |
| 1023547460 | Jeffrey Obiora | Student in an Organized Health Care Education/Training Program | 500 South Preston St, Room 305, Lousiville, KY 40206 | 2017-06-08 |
| 1053840710 | Mary Oliver Humke | Lactation Consultant, Non-RN | 155 N Galt Ave, Louisville, KY 40206 | 2017-06-07 |
| 1417304908 | James Edward Meffert Sr. | Dentist | 1618 Story Ave. (home/office Setting), Louisville, KY 40206 | 2016-05-16 |
| 1235516527 | Jara Nashelle Vega Velez | Internal Medicine | 800 Zorn Ave Dept Of, Louisville, KY 40206 | 2015-05-06 |
| 1184058885 | Reba D Ziller | Occupational Therapist | 4604 Lowe Road, Regis Woods Rehab Center, Louisville, KY 40206 | 2013-08-29 |
| 1407109176 | Jessica L Hoback | Physical Therapy Assistant | 2141 Sycamore Avenue, Louisville, KY 40206 | 2012-10-18 |
| 1598039315 | Mary Barbara Sowers | Emergency Medicine | 611 Emery Rd, Louisville, KY 40206 | 2012-02-24 |
| 1053628479 | Adrian J Pellegrini Md | Nurse Practitioner | 170 Crescent Ave, Louisville, KY 40206 | 2010-09-07 |
| 1518297761 | Kiley Nontell Mcneill | Behavioral Analyst | 1100 East Market St., Louisville, KY 40206 | 2010-01-12 |
| Find all providers in zip 40206 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992266092 | Mohamad Belal Aldaas | Internal Medicine | 530 S Jackson St, Louisville, KY 40202-1675 | 2019-03-29 |
| 1700142429 | University of Louisville Research Foundation | Internal Medicine | 215 Central Ave, Suite 102, Louisville, KY 40208-1449 | 2012-04-06 |
| 1205023389 | Kelly Ann Church | Internal Medicine | 800 Zorn Ave, Geriatrics and Extended Care, Va Medical Center, Louisville, KY 40206-1433 | 2007-10-02 |
| 1932110533 | Patricia Jean Donnelly | Internal Medicine | 800 Zorn Ave, Louisville, KY 40206-1433 | 2006-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023381381 | Integrity Medical Group, LLC | Internal Medicine | 2384 Petersburg Rd, Hebron, KY 41048-9557 | 2012-02-17 |
| 1548424385 | Katrina Ann Booth | Internal Medicine | 50 E Rivercenter Blvd Ste 434, Covington, KY 41011-1660 | 2008-07-10 |
| 1912912734 | Glk Enterprises, LLC | Internal Medicine | 104 Mohawk Street, Brownsville, KY 42210 | 2006-07-30 |
| 1912958554 | Elizabeth A Toms | Internal Medicine | 270 Burley Ave, Hopkinsville, KY 42240-8725 | 2006-05-15 |
| 1487657268 | Subir Ghosh | Internal Medicine | 832 Hwy 15 North, Jackson, KY 41339-8601 | 2005-05-24 |
| 1922371988 | Pattie A Clay Infirmary Assn. | Internal Medicine | 789 Eastern Byp, Suite 11, Richmond, KY 40475-2415 | 2012-02-21 |
| 1902036825 | Kentuckiana Geriatric and Palliative Services Pllc | Internal Medicine | 802 Overhill Dr, Business Office, Shepherdsville, KY 40165-7252 | 2009-07-27 |
| 1750555462 | Alliance Primary Care | Internal Medicine | 7380 Turfway Rd, Florence, KY 41042-1355 | 2008-04-15 |
| 1629141817 | Shalini Chhabra | Internal Medicine | 101 W Roberts St, Morgantown, KY 42261-7942 | 2006-11-16 |
| 1609966878 | Maria P. Pavlou | Internal Medicine | 1500 James Simpson Jr Way, Covington, KY 41011 | 2006-10-16 |
| Find all providers with the same taxonomy | ||||
| City | LOUISVILLE |
| Zip Code | 40206 |
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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.