Individual provider Active NPI

Mark Josephs, MD

  • Emergency Medicine Physician
  • Exeter, NH
National Provider Identifier
1174532659
Registry record updated Jan 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
5767 Issued in NH
Practice address
5 Alumni Dr
Exeter, NH 03833-2128
Phone
(603) 580-6793
Fax
(603) 580-7006
NPI assigned
Aug 5, 2006
Last updated
Jan 10, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 5767 NH Primary

Addresses

Primary practice location

5 Alumni Dr
Exeter, NH 03833-2128

Mailing address

74 Pleasant St
Ste 204
New London, NH 03257-5881
Phone (603) 926-0088

Other identifiers 6

IdentifierTypeStateIssuer
AA14881OtherHARVARD PILGRIM
0112861MedicaidMA
311400099MedicaidME
0108875Y0NH01OtherNHANTHEM
30201083MedicaidNH
930100691OtherRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5767NHMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clearchoicemd Primary Care PLLC Past Accepting new patients
Exeter Emergency Physicians PA Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484006400000",
    "number": "1174532659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 PLEASANT ST",
            "address_2": "STE 204",
            "city": "NEW LONDON",
            "state": "NH",
            "postal_code": "032575881",
            "telephone_number": "603-926-0088",
            "fax_number": "603-926-2853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 ALUMNI DR",
            "city": "EXETER",
            "state": "NH",
            "postal_code": "038332128",
            "telephone_number": "603-580-6793",
            "fax_number": "603-580-7006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSEPHS",
        "first_name": "MARK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2017-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NH",
            "license": "5767",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "AA14881",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0112861",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "311400099",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "0108875Y0NH01",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30201083",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "930100691",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Exeter, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.