Active NPI
Mark Josephs, MD
- Emergency Medicine Physician
- Exeter, NH
National Provider Identifier
1174532659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 5767
- 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, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AA14881 | Other | HARVARD PILGRIM | |
| 0112861 | Medicaid | MA | |
| 311400099 | Medicaid | ME | |
| 0108875Y0NH01 | Other | NH | ANTHEM |
| 30201083 | Medicaid | NH | |
| 930100691 | Other | RAILROAD 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
| License | State | Type | Specialty |
|---|---|---|---|
| 5767 | NH | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Exeter, NH
- NPI 1497845101
-
- Family Medicine Physician
- Saint Albans, VT
- NPI 1326582529
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.