Provider Demographics
NPI:1427056167
Name:HILL, JOSH UTAH (PA-C)
Entity type:Individual
Prefix:
First Name:JOSH
Middle Name:UTAH
Last Name:HILL
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:191 WAL MART WAY
Mailing Address - Street 2:
Mailing Address - City:MAYSVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:41056-7518
Mailing Address - Country:US
Mailing Address - Phone:606-759-0021
Mailing Address - Fax:606-759-0086
Practice Address - Street 1:1210 KY HIGHWAY 36 E
Practice Address - Street 2:
Practice Address - City:CYNTHIANA
Practice Address - State:KY
Practice Address - Zip Code:41031-7490
Practice Address - Country:US
Practice Address - Phone:859-235-3562
Practice Address - Fax:859-234-3967
Is Sole Proprietor?:No
Enumeration Date:2005-07-07
Last Update Date:2015-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH50-00-1493363A00000X
KYPA562363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY95000964Medicaid
KY0369206Medicare ID - Type UnspecifiedMEDICARE NUMBER
OHHIPA15462Medicare ID - Type UnspecifiedMEDICARE NUMBER
KY95000964Medicaid
S81797Medicare UPIN
OHHIPA15463Medicare ID - Type UnspecifiedMEDICARE NUMBER
KY0369013Medicare ID - Type UnspecifiedMEDICARE NUMBER
KY0562613Medicare ID - Type UnspecifiedMEDICARE NUMBER