Provider Demographics
NPI:1528190063
Name:PERSON, CARMEL JOY (MD)
Entity Type:Individual
Prefix:DR
First Name:CARMEL
Middle Name:JOY
Last Name:PERSON
Suffix:
Gender:F
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 766351
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 1:200 HIGH RISE DR STE 372-A
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40213-3252
Practice Address - Country:US
Practice Address - Phone:502-961-6663
Practice Address - Fax:502-961-6660
Is Sole Proprietor?:No
Enumeration Date:2007-03-11
Last Update Date:2021-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY41077207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY000000527911OtherANTHEM- HOUSE CALLS- NORT
KY50016287OtherPASSPORT- NORTON
KYP00427865OtherRAILROAD MEDICARE- NORTON
KY000000529907OtherANTHEM- NCMA
KY000023028ROtherHUMANA- NORTON
KY2863196000OtherPASSPORT ADVANT- NORTON
KY089899OtherSIHO- NORTON
KY7100009340Medicaid
KY50016287OtherPASSPORT- NORTON