DR. STACI A MANDROLA (NPI# 1912129552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912129552 |
| Entity Type | Individual |
| Full Name | DR. STACI A MANDROLA |
| Credential | MD |
| Practice Address |
7504 Westport Rd Louisville KY 40222-4108 |
| Mailing Address |
2500 Meadow Rd Louisville KY 40205-2220 |
| Practice Telephone | 5026932681 |
| Practice Fax Number | 5024569738 |
| Mailing Telephone | 5024569738 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2013-01-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0002X |
Internal Medicine Specialization: Hospice and Palliative Medicine |
41139 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | PASSPORT ADVANTAGE | 3756448000 | 01 |
| KY | PASSPORT | 50026942 | 01 |
| KY | 7100094260 | 05 | |
| KY | ANTHEM | 000000642419 | 01 |
| Street Address |
7504 WESTPORT RD |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40222-4108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760047849 | Amber Dawn Keeling | Speech-Language Pathologist | 7504 Westport Rd, Louisville, KY 40222-4108 | 2019-05-05 |
| 1306330881 | Michelle Cecil | Physical Therapist | 7504 Westport Rd, Louisville, KY 40222-4398 | 2018-06-19 |
| 1245732775 | Kelsey Scott Norcia | Speech-Language Pathologist | 7504 Westport Rd, Louisville, KY 40222-4108 | 2018-02-28 |
| 1821504663 | Sharon Marie Pierce | Speech-Language Pathologist | 7504 Westport Rd, Louisville, KY 40222-4108 | 2017-12-15 |
| 1225553241 | Emily Krimple | Physical Therapist | 7504 Westport Rd, Louisville, KY 40222-4108 | 2017-08-10 |
| 1295266880 | Ashley Vanmeter | Physical Therapist | 7504 Westport Rd, Louisville, KY 40222-4108 | 2017-03-24 |
| 1508307323 | Jonathan Thomas | Speech-Language Pathologist | 7504 Westport Rd, Louisville, KY 40222-4108 | 2017-03-13 |
| 1962859744 | Abubacarr Sallah | Physical Therapist | 7504 Westport Rd, Louisville, KY 40222-4108 | 2016-05-20 |
| 1134453582 | Partners In Palliative Care Pllc | Internal Medicine | 7504 Westport Rd, Louisville, KY 40222-4108 | 2009-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740881507 | Lucas Counseling and Consulting | Counselor | 8134 New Lagrange Road Suite 100, Louisville, KY 40222 | 2020-11-06 |
| 1700424157 | Hope4hearts Counseling LLC | Community/Behavioral Health | 7321 New Lagrange Road, Louisville, KY 40222 | 2019-12-17 |
| 1982162509 | Sydney Sleadd | Massage Therapist | 7505 New Lagrange Rd, Ste 101, Louisville, KY 40222 | 2019-03-04 |
| 1205390127 | Rebecca A Street | Marriage & Family Therapist | 8134 New La Grange Rd Ste 227, Louisville, KY 40222 | 2019-01-24 |
| 1689176166 | Andrew Pennington | Social Worker | 1015 Dorsey Ln., Louisville, KY 40222 | 2018-03-01 |
| 1578085957 | Megan Lusco | Case Manager/Care Coordinator | 312 Whittington Parkway, Suite 020, Louisville, KY 40222 | 2017-07-07 |
| 1083149868 | Kate Oliver Ray | Optometrist | 2420 Lime Kiln Ln Ste H, Louisville, KY 40222 | 2017-04-28 |
| 1578094736 | Jacqueline Ward | Speech-Language Pathologist | 910 Fenley Avenue, Louisville, KY 40222 | 2017-03-21 |
| 1295195907 | Carol Massey | Psychologist | 7400 Newlagrange Roed, 308, Louisville, KY 40222 | 2016-02-24 |
| 1588047260 | Melissa Cosby | Case Manager/Care Coordinator | 312 Whittington Parkway Suite 020, Louisville, KY 40222 | 2015-06-30 |
| Find all providers in zip 40222 | ||||
| Taxonomy Code | 207RH0002X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hospice and Palliative Medicine |
| 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 quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care. |
| Notes: Source: American Academy of Hospice and Palliative Medicine, www.aahpm.org [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346472750 | Louisville Palliative Care LLC | Internal Medicine | 3625 Fern Valley Road, Louisville, KY 40219-1916 | 2009-08-18 |
| 1306344395 | Community Medical Associates, Inc. | Internal Medicine | 1930 Bishop Ln Ste 1017, Louisville, KY 40218-1933 | 2018-01-25 |
| 1033557848 | Kimberly Ellen Leake | Internal Medicine | 550 S Jackson St Fl 3, Louisville, KY 40202 | 2013-06-13 |
| 1134453582 | Partners In Palliative Care Pllc | Internal Medicine | 7504 Westport Rd, Louisville, KY 40222-4108 | 2009-10-01 |
| 1104846419 | Health Alliance Inc | Internal Medicine | 506 W Main St, Louisville, OH 44641-1310 | 2006-07-20 |
| 1881628857 | Lori Anne Earnshaw | Internal Medicine | 3532 Ephraim Mcdowell Dr, Louisville, KY 40205-3224 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033320619 | Charles Kenny Maffet | Internal Medicine | 105 Diecks Dr, Elizabethtown, KY 42701-2444 | 2007-05-24 |
| 1104879105 | Hospice Care Plus, Inc | Internal Medicine | 208 Kidd Dr, Berea, KY 40403-9593 | 2006-05-18 |
| 1366742256 | Hospice of Southern Kentucky Inc | Internal Medicine | 5872 Scottsville Rd, Bowling Green, KY 42104-7853 | 2010-10-26 |
| 1285814400 | Melanie Tirronen Farrell | Internal Medicine | 1201 Pleasant Valley Rd, Owensboro, KY 42303-9811 | 2007-11-05 |
| City | LOUISVILLE |
| Zip Code | 40222 |
Please comment or provide details below to improve the information on DR. STACI A MANDROLA.
| 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.