Individual provider Active NPI

Joseph Stanley Howard, PA

  • Medical Physician Assistant
  • Port Saint Lucie, FL
National Provider Identifier
1215959739
Registry record updated Apr 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA9102738 Issued in FL
Practice address
1859 PSL Blvd
Lumar Plaza
Port Saint Lucie, FL 34952
Phone
(772) 335-4442
Fax
(772) 335-4449
NPI assigned
Jul 24, 2006
Last updated
Apr 16, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA9102738 FL Primary

Addresses

Primary practice location

1859 PSL Blvd
Lumar Plaza
Port Saint Lucie, FL 34952

Mailing address

2155 SE Federal Hwy
Stuart, FL 34994-4514
Phone (772) 223-9630

Other identifiers 1

IdentifierTypeStateIssuer
U2811XOtherWELLMED MANAGEMENT OF FLORIDA INC

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
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Resources, LLC Past Accepting new patients

Organizations & group practices 1

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": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618531200000",
    "number": "1215959739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2155 SE FEDERAL HWY",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349944514",
            "telephone_number": "772-223-9630",
            "fax_number": "772-223-9680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1859 PSL BLVD",
            "address_2": "LUMAR PLAZA",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "34952",
            "telephone_number": "772-335-4442",
            "fax_number": "772-335-4449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOWARD",
        "first_name": "JOSEPH",
        "middle_name": "STANLEY",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2021-04-16",
        "certification_date": "2021-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9102738",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMED MANAGEMENT OF FLORIDA INC",
            "identifier": "U2811X",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Saint Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2021; 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.