ROSHAN K MATHEW MD. P.S.C. NPI 1063966778

NPI Information

  • NPI: 1063966778
  • Provider Name: ROSHAN K MATHEW, MD. P.S.C.
  • Classification: Internal Medicine - 207RC0000X
  • Specialization: Cardiovascular Disease
  • Entity Type: Organization
  • Doing Business As: ADVANCED CARDIOLOGY OF OWENSBORO
  • CLIA Number: 18D2233877
  • Address: 3110 FAIRVIEW DR
    OWENSBORO, KY
    ZIP 42303
  • Phone: (270) 240-2129

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NPI Details

ROSHAN K MATHEW, MD. P.S.C. is a cardiovascular disease internal medicine in Owensboro, KY. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. ROSHAN K MATHEW, MD. P.S.C. NPI is 1063966778. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Advanced Cardiology Of Owensboro.

The provider's business location address is:

3110 FAIRVIEW DR
OWENSBORO, KY
ZIP 42303-175
Phone: (270) 240-2129
Fax: (270) 240-1227

The provider's authorized official is Kelsey Hays .
The authorized official title is Billing Manager/authorized Official and has the following contact phone number (270) 240-2129.

The CLIA number assigned to this NPI record is 18D2233877 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 8/10/2016 and was last updated on 1/14/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RI0011XInternal MedicineInterventional Cardiology39846KENTUCKYNo
2363A00000XPhysician AssistantNo
3363L00000XNurse PractitionerNo
4207RC0000XInternal MedicineCardiovascular Disease39846KENTUCKYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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