Provider Demographics
NPI:1568517886
Name:JOSEPH B OROPILLA, M.D., PSC
Entity Type:Organization
Organization Name:JOSEPH B OROPILLA, M.D., PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:B
Authorized Official - Last Name:OROPILLA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:270-769-5959
Mailing Address - Street 1:914 N DIXIE AVE STE 101
Mailing Address - Street 2:P O BOX 2061
Mailing Address - City:ELIZABETHTOWN
Mailing Address - State:KY
Mailing Address - Zip Code:42701-2536
Mailing Address - Country:US
Mailing Address - Phone:270-769-5959
Mailing Address - Fax:270-769-9717
Practice Address - Street 1:914 N DIXIE AVE STE 101
Practice Address - Street 2:
Practice Address - City:ELIZABETHTOWN
Practice Address - State:KY
Practice Address - Zip Code:42701-2536
Practice Address - Country:US
Practice Address - Phone:270-769-5959
Practice Address - Fax:270-769-9717
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-25
Last Update Date:2008-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY27844174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1051580OtherPASSPORT
000000050813OtherANTHEM
KY64278443Medicaid
000000050813OtherANTHEM
F58351Medicare UPIN