Roshan K Mathew, MD. P.S.C.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

39846 Issued in KY

Legal business name

ROSHAN K MATHEW, MD. P.S.C.

Doing business as

Advanced Cardiology of Owensboro

Practice address

3110 Fairview Dr
Owensboro, KY 42303-2175

Phone

(270) 240-2129

Fax

(270) 240-1227

NPI assigned

Aug 10, 2016

Last updated

Jan 14, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kelsey Hays

Title

Billing Manager/Authorized Official

Phone

(270) 240-2129

Specialties & licenses 4

Addresses

Other names 1

• Advanced Cardiology of Owensboro Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Locations

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Anjali D Cunningham

  • Wound Care Registered Nurse
  • Owensboro, KY
  • NPI 1801418686
  Medicare reassignment NPD
• Nathan A Gish, APRN

  • Family Nurse Practitioner
  • Henderson, KY
  • NPI 1649825860
  Medicare reassignment NPD
• Shirlene Ann Joines

  • Family Nurse Practitioner
  • Owensboro, KY
  • NPI 1063072254
  Medicare reassignment NPD
• Roshan K. Mathew, M.D.

  • Interventional Cardiology Physician
  • Owensboro, KY
  • NPI 1093820953

  Cardiovascular Disease

  Medicare reassignment NPD
• Jeremy Michael Payne, APRN

  • Family Nurse Practitioner
  • Owensboro, KY
  • NPI 1366058422
  Medicare reassignment NPD
• Alicia Williams

  • Family Nurse Practitioner
  • Owensboro, KY
  • NPI 1629733290
  Medicare reassignment NPD
• Getu Assefa, M.D.

  • Interventional Cardiology Physician
  • Hermitage, TN
  • NPI 1326019142

  Cardiovascular Disease, KY

  Medicare reassignment NPD
• Girish R Mood, MD

  • Interventional Cardiology Physician
  • Belleville, IL
  • NPI 1487755518

  Cardiovascular Disease, KY

  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1470787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610582400000",
    "number": "1063966778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2609 NEW HARTFORD RD",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423031316",
            "telephone_number": "270-240-1747",
            "fax_number": "270-240-1748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3110 FAIRVIEW DR",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423032175",
            "telephone_number": "270-240-2129",
            "fax_number": "270-240-1227"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 Breckenridge St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Owensboro",
            "state": "KY",
            "postal_code": "423031090",
            "country_code": "US",
            "telephone_number": "270-240-2129",
            "fax_number": "270-240-1227",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ROSHAN K MATHEW, MD. P.S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-10",
        "last_updated": "2021-01-14",
        "certification_date": "2021-01-14",
        "status": "A",
        "authorized_official_last_name": "HAYS",
        "authorized_official_first_name": "KELSEY",
        "authorized_official_title_or_position": "BILLING MANAGER/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "270-240-2129"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "KY",
            "license": "39846",
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "KY",
            "license": "39846",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "khays@roshanmathew.com",
            "affiliation": "Y",
            "endpointDescription": "private, secure work email",
            "affiliationName": "Roshan K Mathew, MD. P.S.C.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3110 Fairview Dr",
            "city": "Owensboro",
            "state": "KY",
            "country_code": "US",
            "postal_code": "423032175",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Advanced Cardiology of Owensboro",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Advanced Cardiology of Owensboro",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Rhonda L Rouse, R.PH
• Janet Rowland, DMD

• Cardiovascular Disease Physician in Owensboro, KY
• Providers in Owensboro, KY by specialty
• Cardiovascular Disease Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.