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Contact Information

JOSEPH A TISONE, MD
4000 KRESGE WAY STE P1503
LOUISVILLE, KY40207-4605
 Phone: 502-456-2008
 Fax: 502-456-4440
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
 

Hematology

207ZH0000X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for JOSEPH A TISONE · (Male)

NPI # 1134142896
Status Active
Credentials MD
Entity Individual
Enumeration date 07/25/2006
Last updated 12/07/2018 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • KY License # 36418
  • IN Medicaid 200101410A
  • KY Medicaid 64031354
  • WV Medicaid 9801803000
  • Other 000000190947 ANTHEM BLUE CROSS BS
  • Other 290445 BLACK LUNG
  • Other 0956501 CIGNA HEALTHCARE
  • Other 1301279 UNITED MINE WORKERS
  • KY Other 1144199 PASSPORT MEDICAID
  • KY Other 220030335 RAILROAD MEDICARE
Hospital affiliation(s)
  • BAPTIST HOSPITAL EAST - (Acute Care)
    4000 KRESGE WAY
    LOUISVILLE, KY 40207
  • BAPTIST HOSPITAL NORTHEAST - (Acute Care)
    1025 NEW MOODY LANE
    LA GRANGE, KY 40031
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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