Active NPI
Joseph J Jares III, MD
- Neurology Physician
- Neenah, WI
National Provider Identifier
1194714469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 42460
- Practice address
- 318 Park Dr
Neenah, WI 54956-2899 - Phone
- (360) 539-8487
- Fax
- (360) 358-9944
- NPI assigned
- Oct 19, 2005
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | MD60578578 | WA | |
| Electroneurodiagnostic Specialist/Technologist | 246ZE0600X | MD60578578 | WA | |
| Electroneurodiagnostic Specialist/Technologist | 246ZE0600X | 42460 | WI | |
| Neurology Physician | 2084N0400X | 42460 | WI | Primary |
Addresses
Primary practice location
318 Park Dr
Neenah, WI 54956-2899
Mailing address
PO Box 760
Fox Island, WA 98333-0760
Phone (360) 539-8487
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34005500 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Rush Medical College of Rush University, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
318 Park Dr
Neenah, WI 54956-2899
Phone (360) 539-8487
Hospital & facility affiliations
- Virginia Mason Medical Center
- St Michael Medical Center
- St Joseph Medical Center
- Lourdes Medical Center
- Skagit Valley Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD60578578 | WA | MD | Electroneurodiagnostic Specialist/Technologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alaska Native Tribal Health Consortium | Current | Accepting new patients | |
| NW Monitoring, LLC | Neurology | Current | Accepting new patients |
Locations
9333 Martin Way E
Ste 214
Olympia, WA 98516
Phone (360) 539-8487
Interoperability endpoints
- jjjares@direct.anthc.org
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.
-
- General Acute Care Hospital
- Anchorage, AK
- NPI 1437189339
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Silverdale, WA
- NPI 1518912609
-
- General Acute Care Hospital
- Tacoma, WA
- NPI 1124291117
-
- General Acute Care Hospital
- Tacoma, WA
- NPI 1952309098
-
- Critical Access Hospital
- Pasco, WA
- NPI 1831284280
-
- General Acute Care Hospital
- Mount Vernon, WA
- NPI 1053357244
-
- General Acute Care Hospital
- Seattle, WA
- NPI 1801851258
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690934400000",
"number": "1194714469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 760",
"city": "FOX ISLAND",
"state": "WA",
"postal_code": "983330760",
"telephone_number": "360-539-8487",
"fax_number": "603-589-9443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "318 PARK DR",
"city": "NEENAH",
"state": "WI",
"postal_code": "549562899",
"telephone_number": "360-539-8487",
"fax_number": "360-358-9944"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JARES",
"first_name": "JOSEPH",
"middle_name": "J",
"name_suffix": "III",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-19",
"last_updated": "2023-08-02",
"certification_date": "2023-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "WA",
"license": "MD60578578",
"primary": false
},
{
"code": "246ZE0600X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
"state": "WA",
"license": "MD60578578",
"primary": false
},
{
"code": "246ZE0600X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
"state": "WI",
"license": "42460",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "WI",
"license": "42460",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "34005500",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Neenah, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.