Active NPI
Philmore Josley Joseph
- Orthopaedic Surgery Physician
- Kingwood, TX
National Provider Identifier
1235107277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- E 1210
- Practice address
- 26912 Merlot River Dr
Kingwood, TX 77339-1448 - Phone
- (281) 354-1234
- Fax
- (281) 354-2514
- NPI assigned
- Mar 8, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | E 1210 | TX | Primary |
Addresses
Primary practice location
26912 Merlot River Dr
Kingwood, TX 77339-1448
Mailing address
26912 Merlot River Dr
Kingwood, TX 77339-1448
Phone (281) 354-1234
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 115759601 | Medicaid | TX |
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 |
|---|---|---|---|
| E 1210 | TX | MD | Orthopaedic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471478400000",
"number": "1235107277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26912 MERLOT RIVER DR",
"city": "KINGWOOD",
"state": "TX",
"postal_code": "773391448",
"telephone_number": "281-354-1234",
"fax_number": "281-354-2514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26912 MERLOT RIVER DR",
"city": "KINGWOOD",
"state": "TX",
"postal_code": "773391448",
"telephone_number": "281-354-1234",
"fax_number": "281-354-2514"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOSEPH",
"first_name": "PHILMORE",
"middle_name": "JOSLEY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-08",
"last_updated": "2016-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "TX",
"license": "E 1210",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "115759601",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kingwood, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.