Jyothi Matta
M.D. | Pediatric Cardiology | Female
Jyothi Matta, M.D. is a Louisville, Kentucky based Pediatric doctor with medical specialization in
Pediatric Cardiology. Jyothi Matta is also known as
Mary J Matta.
Current practice location of Jyothi Matta is
411 E Chestnut St # 5a, Louisville, Kentucky - 40202-1713. She can be contacted on phone at
502-588-7450 and fax number 502-588-7728.
Jyothi Matta is a sole proprietor of her business.
NPI number (Unique professional ID) for Jyothi Matta is
1073523684 which was assigned by NPPES on 08 Aug, 2006 and it was last updated on 26 Oct, 2020.
Jyothi Matta license number is
43892 for Pediatrics Pediatric Cardiology (2080P0202X) in Kentucky.
Jyothi Matta provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
Complete Profile:
Jyothi Matta basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Cardiology |
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| Provider Name : | Jyothi Matta |
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| Other Name : | Mary J Matta |
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| Credential : | M.D. |
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| Gender : | Female |
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Business Address:
Jyothi Matta address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 411 E Chestnut St # 5a
Louisville, KY, 40202-1713
United States |
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| Phone Number : | 502-588-7450 |
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| Fax Number : | 502-588-7728 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1073523684 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 08 Aug, 2006 |
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| Last Updated On : | 26 Oct, 2020 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jyothi Matta are as mentioned. Primary taxonomy code for Jyothi Matta, M.D. is
2080P0202X (Pediatrics Pediatric Cardiology).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080P0202X | Pediatrics Pediatric Cardiology | Yes | 43892 | KY |
Legacy Identifiers:
Other legacy medical identifiers of Jyothi Matta such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 7100127790 | MEDICAID | KY | |
| 036115369 1 | MEDICAID | IL | |
| 200998450 | MEDICAID | IN | |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
DIRECT
(Direct Messaging Address) | jmatta43540@direct.nortonhealthcare.org
| No affiliation |
|
| 601 S FLOYD ST, STE 602
LOUISVILLE, KY, 40202-1845
United States |
FHIR
(FHIR URL) | https://epicsoap.nortonhealthcare.org/FHIRPRD/api/FHIR/DSTU2/
| No affiliation |
|
| 601 S FLOYD ST, STE 602
LOUISVILLE, KY, 40202-1845
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 776879
Chicago, IL, 60677-6879
United States |
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| Phone Number : | 502-588-9490 |
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| Fax Number : | 502-272-5116 |
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Business Location:
Patients can refer following map for directions to
Jyothi Matta practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.