Individual
DR. STACI A MANDROLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7504 WESTPORT RD, LOUISVILLE, KY 40222-4108
(502) 693-2681
(502) 456-9738
Mailing address
2500 MEADOW RD, LOUISVILLE, KY 40205-2220
(502) 456-9738
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
41139
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000642419
ANTHEM
KY
01
—
3756448000
PASSPORT ADVANTAGE
KY
01
—
50026942
PASSPORT
KY
05
—
7100094260
—
KY
Enumeration date
05/03/2007
Last updated
01/11/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us