Joseph a Dejoan MD LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

01046269A Issued in IN

Legal business name

JOSEPH A DEJOAN MD LLC

Practice address

3301 Calumet Ave
Valparaiso, IN 46383-2614

Phone

(219) 462-0508

Fax

(219) 531-9032

NPI assigned

Jul 6, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Joseph A Dejoan, M.D.

Title

President

Phone

(219) 462-0508

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1183680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210723200000",
    "number": "1205034774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 261",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463840261",
            "telephone_number": "219-476-0352",
            "fax_number": "219-531-0859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 CALUMET AVE",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463832614",
            "telephone_number": "219-462-0508",
            "fax_number": "219-531-9032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH A DEJOAN MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-06",
        "last_updated": "2008-05-14",
        "status": "A",
        "authorized_official_last_name": "DEJOAN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "219-462-0508",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01046269A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200887940",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "000000526797",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathryn Jones, M.S.
• Kristine Jones
• Naomi Jones
• Sakile H Jones
• Maureen Patricia Jordan, MA
• Reagan Carolyn Joseph, MA, LMHCA
• Gordana Josifovski
• Heather Lynn Jozwiak, O.D.
• Amber Judickas
• Julia Crumrine PHD Clinical Psychologist LLC

• Internal Medicine Physician in Valparaiso, IN
• Providers in Valparaiso, IN by specialty
• Internal Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; 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.