Individual
MATTHEW JOHN PIERZALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
203 S WATER ST, LOUISA, KY 41230-1347
(606) 649-2211
(606) 638-1399
Mailing address
PO BOX 726, LOUISA, KY 41230-0726
(606) 638-0938
(859) 813-5394
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
KY
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
KY02941
KY
207R00000X
Internal Medicine Physician
3522
WV
207R00000X
Internal Medicine Physician
Primary
KY02941
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000484549
ANTHEM
KY
01
—
1228266
CHA
KY
01
—
2705602
OHIO DEPT OF JOB/FAMILY
KY
05
—
7100027040
—
KY
01
—
7961767
AETNA
KY
01
—
P00340075
RAILROAD MEDICARE
KY
Enumeration date
06/15/2006
Last updated
12/04/2025
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