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MAT PRAC GROUP, LLC
NPI 1083093207
Internal Medicine - Addiction Medicine in Louisville, KY

Active since May 20, 2015
204 S FLOYD ST, BOX 8, LOUISVILLE, KY 40202(502) 681-5752 Get Directions Write a Review

NPPES record last updated: July 2, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mat Prac Group, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAT PRAC GROUP, LLC (NPI 1083093207) is a healthcare organization registered as an addiction medicine in Louisville, Kentucky and active in the NPI registry since May 2015. The organization lists Bill Dawson, Coo, as its authorized official.

NPPES Registry Identity

NPI1083093207
Entity TypeOrganization
Primary Taxonomy207RA0401X
Legal Business NameMAT PRAC GROUP, LLC
Location Address204 S FLOYD ST, BOX 8Louisville, KY 40202-1208
Mailing Address204 S Floyd St, Box 8Louisville, KY 40202-1208 · (502) 681-5752
Phone(502) 681-5752
Organization SubpartNo
Authorized OfficialBill DawsonCoo · (502) 681-5752
Enumeration DateMay 20, 2015
Last NPPES UpdateJuly 2, 2015
✔ NPI 1083093207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RA0401X
Definition
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
204 S FLOYD ST, Louisville, KY 40202
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KOLIGO SURGICAL LLC
Transplant Surgery
204 S FLOYD ST
LOUISVILLE, KY 40202
Jefferson County (502) 292-9967

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mat Prac Group, LLC's NPI number?

The NPI number for Mat Prac Group, LLC is 1083093207. It was assigned to this organization in the NPPES registry on May 20, 2015.

Where is Mat Prac Group, LLC located?

Mat Prac Group, LLC is located at 204 S Floyd St Box 8, Louisville, KY 40202. The listed phone number is (502) 681-5752.

What is Mat Prac Group, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Addiction Medicine, with taxonomy code 207RA0401X.

When was this NPI record last updated?

The NPPES record for Mat Prac Group, LLC was last updated on July 2, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.