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MATTHEW TODD DESJARDINS MD, NPI 1699777847

Family Medicine in EDGEWOOD, KY

Last Updated on : May 11,2015

About MATTHEW TODD DESJARDINS (NPI 1699777847)


MATTHEW TODD DESJARDINS is a Family Medicine provider in EDGEWOOD, United States. His medical specialization is Family Medicine with a focus in Sports Medicine.

1699777847 is NPI number of MATTHEW TODD DESJARDINS.

MATTHEW TODD DESJARDINS's primary taxonomy code based on NPI Lookup is 207QS0010X with license number 38980. This taxonomy code refers to Family Medicine.

MATTHEW TODD DESJARDINS has more than 16 years of experience.

MATTHEW TODD DESJARDINS current practice location address is 560 S LOOP RD, EDGEWOOD, KY. MATTHEW TODD DESJARDINS can be reached out via phone at 859-301-2663 and via fax at 859-301-0655 .

You can also correspond with MATTHEW TODD DESJARDINS through mail at mailing address 560 S LOOP RD, EDGEWOOD, KY, United States. Mailing address contact number is 859-301-2663.

The enumeration date of MATTHEW TODD DESJARDINS is 01-Jun-2005. The provider is registered as an Individual and the NPI record was last updated 7 years ago.

1699777847 NPI Information

Name MATTHEW TODD DESJARDINS
National Provider Id (NPI) 1699777847
Entity Type Individual
Gender M
Credential MD
Practice Address 560 S LOOP RD,
EDGEWOOD, KY, United States
Practice Telephone 859-301-2663
Practice Fax Number 859-301-0655
Mailing Address 560 S LOOP RD ,
EDGEWOOD, KY, United States
Mailing Telephone 859-301-2663
Mailing Fax Number 859-301-0655
Enumeration Date 01-Jun-2005
Last Updated Date 11-May-2015

MATTHEW TODD DESJARDINS (NPI 1699777847) Primary Taxonomy Information

Primary Taxonomy Code Clasification License Number License State
Y 207QS0010X Family Medicine, Sports Medicine 38980 KY

Additional Identifiers

Identifier Type/Code Identifier State Identifier Issuer
000000333833 Other (non-Medicare) (01) KY ANTHEM
0389218 MEDICARE PIN (08) KY
0428850004 Other (non-Medicare) (01) KY MEDICARE DME
64088594 MEDICAID (05) KY
90008962 Other (non-Medicare) (01) KY MEDICAID DME
CB8861 Other (non-Medicare) (01) KY RAILROAD MEDICARE
H43327 MEDICARE UPIN (02)
P00156471 Other (non-Medicare) (01) KY RAILROAD MEDICARE

MATTHEW TODD DESJARDINS (NPI 1699777847) Office Location

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1558823500 PHOENIX INTERNAL MEDICINE LLC Hospitalist 5579 S ORANGE AVE,
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1487776605 BORIS E CORONADO MD PA Specialist 5579 S ORANGE AVE,
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1487107942 ORLANDO PHYSICIAN SPECIALISTS LLC Internal Medicine, Hematology & Oncology 1561 W FAIRBANKS AVE, SUITE 100
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1750830956 ORLANDO PHYSICIAN SPECIALISTS LLC Urology 1561 W FAIRBANKS AVE,
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1497805691 EDGEWOOD-COLESBURG COMMUNITY SCHOOL DISTRICT Local Education Agency (LEA) PO BOX 316,
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1912178328 KRISTIE RUSSETT Occupational Therapist 4725 MERLE HAY RD,
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13-Mar-2008
1497715494 EDGEWOOD CONVALESCENT HOME, INC. Skilled Nursing Facility 513 BELL ST,
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1306064639 EDGEWOOD CONVALESCENT HOME INC Assisted Living Facility PO BOX 39,
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1215155544 EDGEWOOD CONVALESCENT HOME INC Skilled Nursing Facility PO BOX 39,
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1659044923 MCGREGOR CARE LLC Skilled Nursing Facility PO BOX 77,
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1568135838 ELKADER CARE LLC Skilled Nursing Facility 116 REIMER ST SW,
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1518952670 CITY OF EDGEWOOD Ambulance, Land Transport 39245 LITTLEPORT RD,
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1326719949 ELKADER CARE LLC Assisted Living Facility PO BOX 77,
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1831441096 GUTTENBERG MUNICIPAL HOSPITAL Clinic/Center, Rural Health PO BOX 550,
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1871662163 DELAWARE COUNTY MEMORIAL HOSPITAL Clinic/Center, Rural Health 702 W UNION ST,
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08-Nov-2006
1114109881 HOLIDAY JUDY KUHSE Physical Therapy Assistant 503 S WEBSTER ST,
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04-Dec-2007
1083849939 AMY LYNN GASSMANN Physical Therapist PO BOX 38,
EDGEWOOD, IA, United States
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1417955089 SCOT R CHRISTIANSEN Family Medicine 709 W MAIN ST, P.O. BOX 359
MANCHESTER, IA, United States
08-Jul-2005

FAQs

Whose NPI Number is 1699777847?

1699777847 is the NPI number of MATTHEW TODD DESJARDINS.

What is the specialty for MATTHEW TODD DESJARDINS?

The Specialty of MATTHEW TODD DESJARDINS is Family Medicine.

NPI number meaning

Field Name Field Value
NPI 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Entity Type Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Business Mailing Address The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code.
Provider Business Mailing Address Telephone Number The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider Business Mailing Address Fax Number The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''.
Provider Business Practice Location Address Telephone Number The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number The fax number associated with the location address of the provider being identified.
Provider Enumeration Date The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date The date that a record was last updated or changed.
Authorized Official Telephone Number The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy Taxonomy Description of the Healthcare Provider.
Provider License Number Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code Provider License Number State Code #1
Healthcare Provider Primary Taxonomy Switch Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
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