STACI A. MANDROLA MD – NPI #1912129552
Internal Medicine

An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.

STACI MANDROLA is a physician located in LOUISVILLE, KY. NPPES has assigned the NPI number 1912129552 to STACI MANDROLA on May 03, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207RH0002X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Hospice and Palliative Medicine

The NPI profile was previously updated about 13 years ago on Jan 11, 2013. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for STACI MANDROLA below.

NPI Profile for
STACI A. MANDROLA

NPI Number
1912129552
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
STACI A. MANDROLA
Credentials
MD
Primary location
7504 WESTPORT RD
LOUISVILLE, KY 40222-4108
Phone: (502) 693-2681 Fax: (502) 456-9738
Mailing address
2500 MEADOW RD
LOUISVILLE, KY 40205-2220
Phone: (502) 456-9738 Fax:
Sole Proprietor
No
Updated
Identifiers

Identifiers for STACI MANDROLA

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERANTHEMKY000000642419
OTHERPASSPORTKY50026942
OTHERPASSPORT ADVANTAGEKY3756448000
MEDICAIDKY7100094260
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RH0002X
- Internal Medicine / Hospice and Palliative Medicine (Primary)
KY 41139

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.