Provider Demographics
NPI:1346251881
Name:HITT, OWEN K (MD)
Entity Type:Individual
Prefix:
First Name:OWEN
Middle Name:K
Last Name:HITT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 776351
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60677-6351
Mailing Address - Country:US
Mailing Address - Phone:502-588-9490
Mailing Address - Fax:502-272-5116
Practice Address - Street 1:210 E GRAY ST
Practice Address - Street 2:SUITE 604
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40202-3900
Practice Address - Country:US
Practice Address - Phone:502-629-5633
Practice Address - Fax:502-629-5580
Is Sole Proprietor?:No
Enumeration Date:2006-08-10
Last Update Date:2018-03-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KY14462207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY000000514477OtherANTHEM - NOTC (B&J)
KY082291OtherSIHO - NOTC (B&J)
KY2547979OtherCIGNA - NOTC (B&J)
KYP00449263OtherRAILROAD MEDICARE
KY000057121DOtherHUMANA - NOTC (B&J)
KY64144629Medicaid
KY2859402000OtherPASSPORT ADVANTAGE - NOTC (B&J)
IN100323940Medicaid
KY50016001OtherPASSPORT - NOTC (B&J)
KY50018174OtherPASSPORT
KY000000514477OtherANTHEM - NOTC (B&J)
KY082291OtherSIHO - NOTC (B&J)