TIFFANY DEBORAH JUSTICE M.D. NPI 1447393046

NPI Information

NPI: 1447393046
Provider Name: TIFFANY DEBORAH JUSTICE, M.D.
Classification: Obstetrics & Gynecology - 207VE0102X
Entity Type: Individual

Specialization: Reproductive Endocrinology

Address:
4612 CHAMBERLAIN LN STE 200
LOUISVILLE, KY
ZIP 40241
Phone: (502) 996-4480
Get Directions

Tiffany Deborah Justice, M.D. is a reproductive endocrinology obstetrics gynecology in Louisville, KY. The provider is an obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility. Tiffany Deborah Justice, M.D. 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:

4612 CHAMBERLAIN LN STE 200
LOUISVILLE, KY
ZIP 40241-071
Phone: (502) 996-4480
Fax: (502) 996-4481

The enumeration date for this NPI number is 2/14/2007 and was last updated on 4/11/2016.

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	207V00000X	Obstetrics & Gynecology		43562	KENTUCKY	No
2	207VE0102X	Obstetrics & Gynecology	Reproductive Endocrinology	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	000000665914	OTHER	KENTUCKY	ANTHEM FONDATION LOCATION
2	50029221	OTHER	KENTUCKY	PASSPORT SPECIALIST & SPECIALIST PAD# FOR FOUNDATION
3	K048201	MEDICARE PIN	KENTUCKY
4	50029224	OTHER	KENTUCKY	PASSPORT SPECIALIST & PASSPORT ADVANTAGE (PAD)#- PSC LOCATION
5	50029222	OTHER	KENTUCKY	PCP FOUNDATION & PCP PAD#
6	000000665986	OTHER	KENTUCKY	ANTHEM PSC LOCATION
7	0979736	MEDICARE PIN	KENTUCKY
8	7100126700	MEDICAID	KENTUCKY
9	200983310	MEDICAID	INDIANA
10	0722563	MEDICARE PIN	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: 11/14/2023

NPI Synchronization or Removal

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