MEDICARE: JOSEPH A. MILUM M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2083P0011X	Undersea and Hyperbaric Medicine (Preventive Medicine) Physician	30409	KY
2	207Q00000X	Family Medicine Physician	30409	KY

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
6	P00293243	OTHER	KY	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	072881	OTHER		SIHO - NMA
2	090468	OTHER	KY	SIHO - NAWCC
3	7838630	OTHER		CIGNA / NMA
4	3701993000	OTHER	KY	PASSPORT ADVANTAGE - NAWCC
5	50009783	OTHER		PASSPORT - NMA
7	000000386705	OTHER		ANTHEM - NMA
8	000023025V	OTHER		HUMANA / NMA
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
10	000000482467	OTHER		ANTHEM - NICC
11	000000606001	OTHER	KY	ANTHEM - NAWCC
12	2689193000	OTHER		PASSPORT ADVANTAGE / NMA
13	7838630	OTHER	KY	CIGNA - NAWCC
14	50022969	OTHER		PASSPORT - NAWCC

General Provider Information

NPI Number	:	1497759138
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSEPH A. MILUM M.D.

Provider Business Mailing Address
First Line	:	PO BOX 950245
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40295-0245
Country	:	US
Telephone Number	:	502-272-5100
Fax Number	:	502-272-5116

Provider Business Practice Location Address
First Line	:	9340 CEDAR CENTER WAY
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40291-4522
Country	:	US
Telephone Number	:	502-239-8431
Fax Number	:	502-239-8399

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/10/2005
Last Update Date	:	11/01/2011

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