MEDICARE: PAIGE MARIE MATTHEWS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	56437	KY
2	2080H0002X	Pediatric Hospice and Palliative Medicine Physician	56437	KY
3	207RH0002X	Hospice and Palliative Medicine (Internal Medicine) Physician	56437	KY
4	208000000X	Pediatrics Physician	01090743A	IN
5	207R00000X	Internal Medicine Physician	56437	KY
6	207R00000X	Internal Medicine Physician	01090743A	IN
7	207RH0002X	Hospice and Palliative Medicine (Internal Medicine) Physician	01090743A	IN
8	2080H0002X	Pediatric Hospice and Palliative Medicine Physician	01090743A	IN

General Provider Information

NPI Number	:	1710484407
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAIGE MARIE MATTHEWS MD

Provider Business Mailing Address
First Line	:	6200 DUTCHMANS LN
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40205-3271
Country	:	US
Telephone Number	:	502-456-6200
Fax Number	:	502-456-6655

Provider Business Practice Location Address
First Line	:	502 HAUSFELDT LN
Second Line	:
City	:	NEW ALBANY
State	:	IN
Zip	:	47150
Country	:	US
Telephone Number	:	502-456-6200
Fax Number	:	502-456-6655

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/09/2018
Last Update Date	:	02/02/2026

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