Active NPI
Matthew Wilson Karlovic, LPN
- Licensed Practical Nurse
- Youngstown, OH
National Provider Identifier
1790004232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- PN120030MEDS
- Practice address
- 1344 5TH Ave
Youngstown, OH 44504-1703 - Phone
- (330) 742-2595
- Fax
- (330) 742-2598
- NPI assigned
- May 24, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | PN120030MEDS | OH | Primary |
Addresses
Primary practice location
1344 5TH Ave
Youngstown, OH 44504-1703
Mailing address
30 E Broad St
11TH Floor
Columbus, OH 43215-3430
Phone (604) 466-6583
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
| License | State | Type | Specialty |
|---|---|---|---|
| PN120030MEDS | OH | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Ohio Office of Budget and MGMT, State Accounting | Past | Accepting new patients | |
| State of Ohio Office of Budget and Management State Accounting | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Nursing Facility/Intermediate Care Facility
- Sandusky, OH
- NPI 1790732576
-
- Case Management Agency
- Youngstown, OH
- NPI 1467421438
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274659200000",
"number": "1790004232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 E BROAD ST",
"address_2": "11TH FLOOR",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432153430",
"telephone_number": "604-466-6583",
"fax_number": "614-644-5331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1344 5TH AVE",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445041703",
"telephone_number": "330-742-2595",
"fax_number": "330-742-2598"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KARLOVIC",
"first_name": "MATTHEW",
"middle_name": "WILSON",
"name_prefix": "Mr.",
"credential": "LPN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-05-24",
"last_updated": "2010-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "OH",
"license": "PN120030MEDS",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Youngstown, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 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.