Gary Joseph, DO

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

34-006110 J Issued in OH

Practice address

667 Eastland Ave SE
Warren, OH 44484-4503

Phone

(330) 841-4000

Fax

(330) 656-5901

NPI assigned

Jan 19, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 10

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Magis Emergency Medicine LLC

  • Emergency Medicine Physician
  • Parma, OH
  • NPI 1801287511
  Medicare reassignment NPD
• Ues Ahuja LLC

  • Emergency Medicine Physician
  • Beachwood, OH
  • NPI 1467883934
  Medicare reassignment NPD
• Physicians Link Center LLC

  • Emergency Medicine Physician
  • Elyria, OH
  • NPI 1235172925
  Medicare reassignment
• 4M Emergency Systems Andover LLC

  • Emergency Medicine Physician
  • Andover, OH
  • NPI 1346292364
  NPD (past)
• 4M Emergency Systems LLC

  • Emergency Medicine Physician
  • Warren, OH
  • NPI 1932152584
  NPD (past)
• Erie Banks Emergency Physicians LLC

  • Emergency Medicine Physician
  • Willoughby, OH
  • NPI 1801105366
  NPD (past)
• Mves Austintown LLC

  • Emergency Medicine Physician
  • Austintown, OH
  • NPI 1972555944
  NPD (past)
• Mves Boardman LLC

  • Emergency Medicine Physician
  • Youngstown, OH
  • NPI 1205888237
  NPD (past)
• Ohio Em-I Medical Services, Professional Association

  • Physician Assistant
  • Willoughby, OH
  • NPI 1033429808
  NPD (past)
• Ues Geauga, LLC

  • Emergency Medicine Physician
  • Chardon, OH
  • NPI 1841242997
  NPD (past)
• Ues Richmond Heights LLC

  • Emergency Medicine Physician
  • Richmond Heights, OH
  • NPI 1568414613
  NPD (past)
• University Emergency Specialists of Bedford LLC

  • Emergency Medicine Physician
  • Bedford, OH
  • NPI 1760434781
  NPD (past)

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213142400000",
    "number": "1154301893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 DARROW RD",
            "address_2": "SUITE 106",
            "city": "HUDSON",
            "state": "OH",
            "postal_code": "442365021",
            "telephone_number": "330-656-5911",
            "fax_number": "330-656-5901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "667 EASTLAND AVE SE",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444844503",
            "telephone_number": "330-841-4000",
            "fax_number": "330-656-5901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "GARY",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-19",
        "last_updated": "2008-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "34-006110 J",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000162489",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PENNSYLVANIA MEDICAID",
            "identifier": "001671224-0003",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0216779",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000381140",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000381220",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PENNSYLVANIA MEDICAID",
            "identifier": "001671224-0001",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000349348",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000381808",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000383091",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000385522",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas B Jones Jr., M.D.
• Tiffany L Jones, LPN
• Keith Joritz
• Joseph a Carano D O Inc
• Joseph J Fonagy Jr DPM Inc
• Viraj Vinod Joshi
• Leanna Jean Joye
• Gretchyn Griffith Judeh, DPT
• Isadore James Jurkovic
• Justin Jurovcik

• Emergency Medicine Physician in Warren, OH
• Providers in Warren, OH by specialty
• Emergency Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.