Individual provider Active NPI

Robert Cecil Matthews II, CST/CFA/KCSA

  • Surgical Technologist
  • Louisville, KY
National Provider Identifier
1720048853
Registry record updated May 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical TechnologistTaxonomy code 246ZS0410X
License
93050 Issued in KY
Practice address
4950 Norton Healthcare Blvd Ste 300
Louisville, KY 40241-2848
Phone
(502) 394-6395
Fax
(502) 394-6396
NPI assigned
Mar 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Technologist 246ZS0410X 93050 KY Primary
Surgical Technologist 246ZS0410X SA106 KY

Addresses

Primary practice location

4950 Norton Healthcare Blvd Ste 300
Louisville, KY 40241-2848

Mailing address

PO Box 776351
Chicago, IL 60677-6351
Phone (502) 588-9490

Other practice location 1

545 Autumn Glen Drive
Mount Washington, KY 40047-0264
Phone (520) 905-1293

Other names 1

  • Mr. R. Matt Matthews II Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
93050KYMDSurgical Technologist
SA106KYMDSurgical Technologist

NPI Registry JSON

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778198400000",
    "number": "1720048853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776351",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776351",
            "telephone_number": "502-588-9490",
            "fax_number": "502-272-5116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4950 NORTON HEALTHCARE BLVD STE 300",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402412848",
            "telephone_number": "502-394-6395",
            "fax_number": "502-394-6396"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "545 Autumn Glen Drive",
            "address_purpose": "LOCATION",
            "city": "Mount Washington",
            "state": "KY",
            "postal_code": "400470264",
            "country_code": "US",
            "telephone_number": "520-905-1293",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATTHEWS",
        "first_name": "ROBERT",
        "middle_name": "CECIL",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "CST/CFA/KCSA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2026-05-08",
        "certification_date": "2026-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZS0410X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": "KY",
            "license": "93050",
            "primary": true
        },
        {
            "code": "246ZS0410X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": "KY",
            "license": "SA106",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "R.",
            "last_name": "MATTHEWS",
            "middle_name": "MATT",
            "prefix": "MR.",
            "suffix": "II",
            "credential": "CST/CFA/KCSA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 May 8, 2026; 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.