NPIMap

Organization Active NPI

St Matthews Medical Associates

  • Clinical Medical Laboratory
  • Louisville, KY
National Provider Identifier
1538153309
Registry record updated Mar 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
18D0321241 Issued in KY
Legal business name
ST MATTHEWS MEDICAL ASSOCIATES
Practice address
4003 Kresge Way
Suite 400
Louisville, KY 40207-4652
Phone
(502) 895-4263
Fax
(502) 899-5488
NPI assigned
Sep 7, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2010

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

Authorized official

Name
Dr. Lawrence J Rueff, M.D.NPI 1891789996
Title
Partner
Phone
(502) 895-4263

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 18D0321241 KY Primary

Addresses

Primary practice location

4003 Kresge Way
Suite 400
Louisville, KY 40207-4652

Mailing address

4003 Kresge Way
Suite 400
Louisville, KY 40207-4652
Phone (502) 895-4263

Other identifiers 3

IdentifierTypeStateIssuer
1066874MedicaidKY
65923682MedicaidKY
3500123OtherKYUNITED HEALTHCARE REF LAB

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269302400000",
    "number": "1538153309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4003 KRESGE WAY",
            "address_2": "SUITE 400",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074652",
            "telephone_number": "502-895-4263",
            "fax_number": "502-899-5488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4003 KRESGE WAY",
            "address_2": "SUITE 400",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074652",
            "telephone_number": "502-895-4263",
            "fax_number": "502-899-5488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST MATTHEWS MEDICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-07",
        "last_updated": "2010-03-23",
        "status": "A",
        "authorized_official_last_name": "RUEFF",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "502-895-4263",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "KY",
            "license": "18D0321241",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1066874",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65923682",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE REF LAB",
            "identifier": "3500123",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.