TIFFANY DEBORAH JUSTICE MD NPI 1447393046

NPI Information

NPI: 1447393046
Provider Name: TIFFANY DEBORAH JUSTICE, MD
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Individual
Address:
4123 DUTCHMANS LANE
SUITE 414
LOUISVILLE, KY
ZIP 40207
Phone: (502) 897-2144
Get Directions

Tiffany Deborah Justice, MD is an obstetrics gynecology in Louisville, KY. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. Tiffany Deborah Justice, MD NPI is 1447393046. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4123 DUTCHMANS LANE
SUITE 414
LOUISVILLE, KY
ZIP 40207-733
Phone: (502) 897-2144
Fax: (502) 897-1773

The enumeration date for this NPI number is 2/14/2007 and was last updated on 6/30/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207VE0102X	Obstetrics & Gynecology	Reproductive Endocrinology	43562	KENTUCKY	No
2	207V00000X	Obstetrics & Gynecology		43562	KENTUCKY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	200983310	MEDICAID	INDIANA
2	000000665986	OTHER	KENTUCKY	ANTHEM PSC LOCATION
3	000000665914	OTHER	KENTUCKY	ANTHEM FONDATION LOCATION
4	50029221	OTHER	KENTUCKY	PASSPORT SPECIALIST & SPECIALIST PAD# FOR FOUNDATION
5	50029222	OTHER	KENTUCKY	PCP FOUNDATION & PCP PAD#
6	50029224	OTHER	KENTUCKY	PASSPORT SPECIALIST & PASSPORT ADVANTAGE (PAD)#- PSC LOCATION
7	7100126700	MEDICAID	KENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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