Provider Demographics
NPI:1023040680
Name:LASH, JOSEPH A (MD)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:A
Last Name:LASH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 950202
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40295-0202
Mailing Address - Country:US
Mailing Address - Phone:502-588-9490
Mailing Address - Fax:502-272-5116
Practice Address - Street 1:6420 DUTCHMANS PKWY
Practice Address - Street 2:SUITE 200
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40205-3372
Practice Address - Country:US
Practice Address - Phone:502-891-8300
Practice Address - Fax:502-891-8338
Is Sole Proprietor?:No
Enumeration Date:2006-07-06
Last Update Date:2012-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY28281207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY50031147OtherPASSPORT- CARDIOTHORACIC SURGERY OF LOUISVILLE
KY000000044907OtherANTHEM PIN
KY000057080JOtherHUMANA- CTS
KY2433841000OtherPASSPORT ADVANTAGE PIN
KY1056117OtherPASSPORT PIN
KYP00893013OtherRAILROAD MEDICARE- CTS
IN100388590AMedicaid
KY000000693035OtherANTHEM- CTS
IN100388590FMedicaid
KY64282817Medicaid
KY00059012Medicare PIN
KY0558404Medicare ID - Type Unspecified
KY0558505Medicare ID - Type Unspecified
KY0795701Medicare ID - Type Unspecified
KYP400031827Medicare PIN
KYP00893013OtherRAILROAD MEDICARE- CTS
KY000057080JOtherHUMANA- CTS
KY060018537Medicare PIN
KY1271818Medicare ID - Type Unspecified
KY0558605Medicare ID - Type Unspecified
KY060049857Medicare PIN
IN100388590AMedicaid
IN100388590FMedicaid
KY64282817Medicaid