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ROSHAN K MATHEW, MD. P.S.C.

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Company Details

Name: ROSHAN K MATHEW, MD. P.S.C.
Legal type: Kentucky Professional Services Corp
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 03 Aug 2016 (9 years ago)
Organization Date: 03 Aug 2016 (9 years ago)
Last Annual Report: 31 Oct 2024 (7 months ago)
Organization Number: 0959174
Industry: Health Services
Number of Employees: Medium (20-99)
ZIP code: 42303
City: Owensboro
Primary County: Daviess County
Principal Office: 3110 FAIRVIEW DRIVE, OWENSBORO, KY 42303
Place of Formation: KENTUCKY
Authorized Shares: 1

President

Name Role
Roshan K Mathew President

Shareholder

Name Role
Roshan K Mathew Shareholder

Incorporator

Name Role
ROSHAN K MATHEW Incorporator

Registered Agent

Name Role
ROSHAN K MATHEW Registered Agent

National Provider Identifier

NPI Number:
1063966778
Certification Date:
2021-01-14

Authorized Person:

Name:
KELSEY HAYS
Role:
BILLING MANAGER/AUTHORIZED OFFICIAL
Phone:

Taxonomy:

Selected Taxonomy:
207RI0011X - Interventional Cardiology Physician
Is Primary:
No
Selected Taxonomy:
363A00000X - Physician Assistant
Is Primary:
No
Selected Taxonomy:
363L00000X - Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
207RC0000X - Cardiovascular Disease Physician
Is Primary:
Yes

Contacts:

Fax:
2702401748
Fax:
2702401227

Assumed Names

Name Status Expiration Date
ADVANCED CARIDIOLOGY OF OWENSBORO Inactive 2021-08-15

Filings

Name File Date
Reinstatement Approval Letter UI 2024-10-31
Reinstatement 2024-10-31
Reinstatement Certificate of Existence 2024-10-31
Reinstatement Approval Letter Revenue 2024-10-31
Administrative Dissolution 2024-10-12

USAspending Awards / Financial Assistance

Date:
2021-01-26
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
221260.20
Total Face Value Of Loan:
221260.20
Date:
2020-04-08
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
213590.95
Total Face Value Of Loan:
213590.95

Paycheck Protection Program

Date Approved:
2021-01-26
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
221260.2
Current Approval Amount:
221260.2
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
222775.68

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Sources: Kentucky Secretary of State