Individual
DR. LLOYD ROSS TAUSTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1169 EASTERN PKWY STE 1211, LOUISVILLE, KY 40217-1462
(502) 896-8700
(502) 896-0813
Mailing address
6400 DUTCHMANS PKWY STE 125, LOUISVILLE, KY 40205-3342
(502) 896-8700
(502) 896-0813
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
19646
KY
207W00000X
Ophthalmology Physician
28394
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000042393
ANTHEM
IN
01
—
000000062217
ANTHEM
KY
01
—
0800022
UNITED HEALTHCARE
—
01
—
100259770A
MEDICAID IN MADISON OFFIC
—
01
—
100259770B
MEDICAID IN LOUISVILLE OF
—
05
—
1052110
—
KY
01
—
180004025
MEDICARE RAILROAD
IN
01
—
180012783
MEDICARE RAILROAD
KY
01
—
4012921
AETNA
—
05
—
64196462
—
KY
01
—
917333
BLOCK VISION
—
01
—
I005632
TRICARE INDIANA OFFICE
—
01
—
K001342
TRICARE KENTUCKY OFFICE
—
Enumeration date
08/12/2005
Last updated
02/10/2023
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