Individual provider Active NPI

Joseph David Stokes Jr., M.D.

  • Geriatric Medicine (Family Medicine) Physician
  • Norton, OH
National Provider Identifier
1053396812
Registry record updated Nov 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
35055544S Issued in OH
Practice address
1193 Norton Ave
Suite a.
Norton, OH 44203-9516
Phone
(330) 825-0847
Fax
(330) 825-9569
NPI assigned
Dec 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X 35055544S OH Primary

Addresses

Primary practice location

1193 Norton Ave
Suite a.
Norton, OH 44203-9516

Mailing address

1193 Norton Ave
Suite a.
Norton, OH 44203-9516
Phone (330) 825-0847

Other identifiers 2

IdentifierTypeStateIssuer
080015179OtherOHRAILROAD MEDICARE NUMBER
0933708MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100215000009 OH Practitioner - Family Practice 6507753126 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Kentucky College of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Health Care Inc.Group PAC ID 1052207727, 65 clinicians

Practice addresses (Care Compare)

944 Cherry St E
Canal Fulton, OH 44614-8669
Phone (330) 854-4574

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35055544SOHMDGeriatric Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Care Inc. CurrentSince Jan 30, 2010 Accepting new patients
Radiology Associates of Canton, Inc. PastSince Jan 30, 2010 Accepting new patients

Locations

944 Cherry St E
Canal Fulton, OH 44614
Phone (330) 854-4281

1193 Norton Ave
Ste A
Norton, OH 44203
Phone (330) 825-0847

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EHHDAA
  • Direct secure messaging: joseph.stokes@chci.eclinicaldirectplus.com

Organizations & group practices 2

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

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321574400000",
    "number": "1053396812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1193 NORTON AVE",
            "address_2": "SUITE A.",
            "city": "NORTON",
            "state": "OH",
            "postal_code": "442039516",
            "telephone_number": "330-825-0847",
            "fax_number": "330-825-9569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1193 NORTON AVE",
            "address_2": "SUITE A.",
            "city": "NORTON",
            "state": "OH",
            "postal_code": "442039516",
            "telephone_number": "330-825-0847",
            "fax_number": "330-825-9569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOKES",
        "first_name": "JOSEPH",
        "middle_name": "DAVID",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-14",
        "last_updated": "2011-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "OH",
            "license": "35055544S",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE NUMBER",
            "identifier": "080015179",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0933708",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norton, OH

Sources for this page

Verify at the official NPI Registry.