Provider Demographics
NPI:1790792406
Name:OROPILLA, JOSEPH BACANI (MD)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:BACANI
Last Name:OROPILLA
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 1:113 HELMWOOD DR
Mailing Address - Street 2:
Mailing Address - City:ELIZABETHTOWN
Mailing Address - State:KY
Mailing Address - Zip Code:42701-2873
Mailing Address - Country:US
Mailing Address - Phone:270-737-0616
Mailing Address - Fax:
Practice Address - Street 1:113 HELMWOOD DR
Practice Address - Street 2:
Practice Address - City:ELIZABETHTOWN
Practice Address - State:KY
Practice Address - Zip Code:42701-2873
Practice Address - Country:US
Practice Address - Phone:270-737-0616
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-02
Last Update Date:2019-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY278442084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY64278443Medicaid
KY64278443Medicaid
F58351Medicare UPIN
KYP400021804Medicare PIN