DR. JOSHUA MICHAEL ILTIS (NPI# 1558999326) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558999326 |
| Entity Type | Individual |
| Full Name | DR. JOSHUA MICHAEL ILTIS |
| Credential | MD |
| Practice Address |
301 E Muhammad Ali Blvd Louisville KY 40202-1511 |
| Practice Telephone | 5028520710 |
| Mailing Telephone | 5028520710 |
| Enumeration Date | 2020-03-29 |
| Last Update Date | 2020-03-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
301 E MUHAMMAD ALI BLVD |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40202-1511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144282005 | Shorye Payne | Ophthalmology | 301 E Muhammad Ali Blvd, Louisville, KY 40202 | 2006-04-05 |
| 1174146476 | Brennan Michael Boyd | Student in an Organized Health Care Education/Training Program | 301 E Muhammad Ali Blvd, Louisville, KY 40202-1511 | 2020-05-20 |
| 1124657739 | Sina Rashidi Kikanloo | Student in an Organized Health Care Education/Training Program | 301 E Muhammad Ali Blvd, Louisville, KY 40202-1511 | 2020-04-06 |
| 1609405257 | Melih Ustaoglu | Student in an Organized Health Care Education/Training Program | 301 E Muhammad Ali Blvd, Louisville, KY 40202-1511 | 2020-04-06 |
| 1548722085 | Rooshil Patel | Student in an Organized Health Care Education/Training Program | 301 E Muhammad Ali Blvd, Louisville, KY 40202-1511 | 2019-04-03 |
| 1063917730 | Ali Rae Cohen | Student in an Organized Health Care Education/Training Program | 301 E Muhammad Ali Blvd, Louisville, KY 40202-1511 | 2018-03-26 |
| 1083118749 | Brian Michael Besch | Student in an Organized Health Care Education/Training Program | 301 E Muhammad Ali Blvd, Louisville, KY 40202 | 2018-03-19 |
| 1174032908 | Efrat Fleissig | Ophthalmology | 301 E Muhammad Ali Blvd, Louisville, KY 40202-1511 | 2017-09-25 |
| 1275064917 | Casey O'shea | Student in an Organized Health Care Education/Training Program | 301 E Muhammad Ali Blvd, Louisville, KY 40202-1511 | 2017-03-24 |
| 1528419306 | Julia Thomas Elpers | Ophthalmology | 301 E Muhammad Ali Blvd, Louisville, KY 40202-1511 | 2016-06-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972129682 | Garvit Chhabra | Student in an Organized Health Care Education/Training Program | 550, South Jackson Street, Acb, Third Floor, Louisville, KY 40202 | 2020-06-18 |
| 1396367009 | Richele Williams | Student in an Organized Health Care Education/Training Program | 201 Abraham Flexner Way Department of Family and Pediac, Suite 690, Louisville, KY 40202 | 2020-05-15 |
| 1942822028 | Ahmed Khaled Saleh | Student in an Organized Health Care Education/Training Program | 500 S Jackson St, Room 305, Louisville, KY 40202 | 2020-05-12 |
| 1457972952 | Mir Ali Raza Talpur | Student in an Organized Health Care Education/Training Program | 401 E Chestnut Street, Suite 600 University of Louisvi, Louisville, KY 40202 | 2020-05-06 |
| 1316575533 | Abigail Hatfield | Student in an Organized Health Care Education/Training Program | Internal Medicine Training Program, 550 South Jackson Street, Acb 3rd Floor, Louisville, KY 40202 | 2020-04-01 |
| 1851929210 | Madison Harmon | Student in an Organized Health Care Education/Training Program | Uofl Department of Emergency Medicine, 530 S. Jackson Street Room C1h17, Louisville, KY 40202 | 2020-03-31 |
| 1184252041 | Marianna Weaver | Student in an Organized Health Care Education/Training Program | 550 South Jackson Street, Acb 3rd Floor, University of Louisville, Louisville, KY 40202 | 2020-03-27 |
| 1700347341 | Charles Jake Sadle | Student in an Organized Health Care Education/Training Program | Office of Medical Education C/o Brittney Luckett, 571 S. Floyd St., Ste. 412, Louisville, KY 40202 | 2019-03-27 |
| 1437616794 | Paladina Health, LLC | Family Medicine | Paladina Health Humana East, 123 E Main Street, Louisville, KY 40202 | 2019-02-22 |
| 1205393568 | Paladina Health, LLC | Family Medicine | Paladina Health Humana West, 500 W Main Street, Louisville, KY 40202 | 2019-02-22 |
| Find all providers in zip 40202 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518566553 | Kenley N Joelson | Student in an Organized Health Care Education/Training Program | 2400 S 4th St Unit 710, Louisville, KY 40208-1526 | 2020-10-21 |
| 1235746512 | Nina S Smith | Student in an Organized Health Care Education/Training Program | 1115 Garvin Pl # 120, Louisville, KY 40203-3178 | 2020-09-30 |
| 1215541834 | Sarah Sloan Goldberg | Student in an Organized Health Care Education/Training Program | 11201 Bodley Dr, Louisville, KY 40223-1387 | 2020-09-01 |
| 1396361630 | Teylor Elizabeth Harrity | Student in an Organized Health Care Education/Training Program | 123 Woodruff 5 Rd, Louisville, MS 39339-7740 | 2020-06-23 |
| 1972129682 | Garvit Chhabra | Student in an Organized Health Care Education/Training Program | 550, South Jackson Street, Acb, Third Floor, Louisville, KY 40202 | 2020-06-18 |
| 1790308161 | Sue Ann Heironimus | Student in an Organized Health Care Education/Training Program | 7516 Creekton Dr, Louisville, KY 40241-6430 | 2020-05-20 |
| 1780207274 | Isabel Misha Vyazmensky | Student in an Organized Health Care Education/Training Program | 2211 S Brook St Room 105, Louisville, KY 40292-2442 | 2020-05-19 |
| 1396367009 | Richele Williams | Student in an Organized Health Care Education/Training Program | 201 Abraham Flexner Way Department of Family and Pediac, Suite 690, Louisville, KY 40202 | 2020-05-15 |
| 1942822028 | Ahmed Khaled Saleh | Student in an Organized Health Care Education/Training Program | 500 S Jackson St, Room 305, Louisville, KY 40202 | 2020-05-12 |
| 1831711027 | James Stephen Stotts | Student in an Organized Health Care Education/Training Program | 3018 Carson Way, Louisville, KY 40205-3116 | 2020-05-11 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40202 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.