Matthew John Pierzala
Internist Sports Medicine Doctor
125 S Main Cross St
Louisa
, Kentucky 41230-1065
Matthew John Pierzala
Internist Sports Medicine Doctor
125 S Main Cross St
Louisa
, Kentucky 41230-1065
(859) 813-5394
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About
Features
Specialties
- Sports Medicine Doctor
- Internist
Languages spoken
- English
Location
First Address
- Matthew John Pierzala
- 125 S Main Cross St
- Louisa, KY
- Zip : 41230-1065
- Fax : (859) 813-5394
- Phone : (606) 638-0938
Second Address
- Matthew John Pierzala
- 125 S Main Cross St
- Louisa, KY
- Zip : 41230-1065
- Fax : (859) 813-5394
- Phone : (606) 638-0938
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 204C00000X | Sports Medicine Doctor | KY02941 | KY |
| N | 207R00000X | Internist | 3522 | WV |
| N | 111NI0900X | Internist | 3522 | WV |
| Y | 207R00000X | Internist | KY02941 | KY |
| Y | 111NI0900X | Internist | KY02941 | KY |
National Provider Identifier
| NPI | 1811931389 |
|---|---|
| Provider Name | Matthew John Pierzala |
| First Address | Louisa, KY 41230-1065 |
| Second Address | Louisa, KY 41230-1065 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/06/2006 |
| Last Update Date | 22/10/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000000484549 | ANTHEM (01) | KY |
| 1228266 | CHA (01) | KY |
| 2705602 | OHIO DEPT OF JOB/FAMILY (01) | KY |
| 7100027040 | (05) | KY |
| 7961767 | AETNA (01) | KY |
| I27769 | (02) | KY |
| P00340075 | RAILROAD MEDICARE (01) | KY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.