Tiffany Deborah Justice, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

43562 Issued in KY

Practice address

4123 Dutchmans Lane
Suite 414
Louisville, KY 40207-4733

Phone

(502) 897-2144

Fax

(502) 897-1773

NPI assigned

Feb 14, 2007

Last updated

Jun 30, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Robert J. Homm, MD, PSC

  dba Fertility & Endocrine Associates

  • Reproductive Endocrinology Physician
  • Louisville, KY
  • NPI 1770628927
  NPD (past)
• The University Gynecological & Obstetrical Foundation, Inc.

  • Specialist
  • Louisville, KY
  • NPI 1497700587
  NPD (past)
• University Obstetrical and Gynecological Associates, PSC

  • Specialist
  • Louisville, KY
  • NPI 1134174360
  NPD (past)
• University of Louisville Physicians, Inc.

  dba ULP Radiological Associates

  • Diagnostic Radiology Physician
  • Louisville, KY
  • NPI 1316294127
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688083200000",
    "number": "1447393046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4123 DUTCHMANS LANE",
            "address_2": "SUITE 414",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074733",
            "telephone_number": "502-897-2144",
            "fax_number": "502-897-1773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4123 DUTCHMANS LANE",
            "address_2": "SUITE 414",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074733",
            "telephone_number": "502-897-2144",
            "fax_number": "502-897-1773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUSTICE",
        "first_name": "TIFFANY",
        "middle_name": "DEBORAH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-14",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "KY",
            "license": "43562",
            "primary": true
        },
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "KY",
            "license": "43562",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200983310",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM FONDATION LOCATION",
            "identifier": "000000665914",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT SPECIALIST & SPECIALIST PAD# FOR FOUNDATION",
            "identifier": "50029221",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT SPECIALIST & PASSPORT ADVANTAGE (PAD)#- PSC LOCATION",
            "identifier": "50029224",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PSC LOCATION",
            "identifier": "000000665986",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PCP FOUNDATION & PCP PAD#",
            "identifier": "50029222",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100126700",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christina L Justice, BCBA
• Joshua David Justice, D.O.
• Kristen G Justice, LCSW
• Mathew John Justice, PTA
• Nicole Justice, APRN, FNP-C
• Julian Justino, MD
• Edin Jusufbegovic
• JW Medical, L.L.C.
• Kavita Sridevi Jyotula, MD
• K Tierney Lanham LLC

• Obstetrics & Gynecology Physician in Louisville, KY
• Providers in Louisville, KY by specialty
• Obstetrics & Gynecology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.