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Gregory Gabor Matos

Student in an Organized Health Care Education/Training Program in Louisville, KY. Individual provider (NPI-1).

NPI number1316699291
StatusActive
Last updated in NPPESJan 22, 2022

Details

NPI
1316699291
Entity type
Individual (NPI-1)
Name
Gregory Gabor Matos
Sex
Male
Sole proprietor
No
Enumeration date
Jan 22, 2022
Certification date
Jan 22, 2022
Last updated
Jan 22, 2022

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

501 S Preston St Unit 415
Louisville, KY 40202-1701

Phone 502-852-5096

Mailing address

3801 Vanderbilt Cir
Springfield, IL 62711-7342

Phone 217-303-4969

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Student in an Organized Health Care Education/Training Program providers in Louisville, KY

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