Organization Active NPI

Joby Joseph,MD Inc

  • Sports Medicine (Neuromusculoskeletal Medicine) Physician
  • Charleston, WV
National Provider Identifier
1245367929
Registry record updated Jul 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Neuromusculoskeletal Medicine) PhysicianTaxonomy code 204C00000X
License
15460 Issued in WV
Legal business name
JOBY JOSEPH,MD INC
Practice address
888 Oakwood Rd
Suite 210
Charleston, WV 25314-2000
Phone
(304) 205-5821
NPI assigned
Feb 28, 2007
Last updated
Jul 14, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2014

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

Authorized official

Name
Dr. Joby Joseph, MD
Title
President
Phone
(304) 205-5821

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Neuromusculoskeletal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 204C00000X 15460 WV Primary

Addresses

Primary practice location

888 Oakwood Rd
Suite 210
Charleston, WV 25314-2000

Mailing address

888 Oakwood Rd
Suite 210
Charleston, WV 25314-2000
Phone (304) 205-5821

Other identifiers 1

IdentifierTypeStateIssuer
0089881000MedicaidWV

National Provider Directory

National Provider Directory

Locations

888 Oakwood Rd
Ste 210
Charleston, WV 25314
Phone (304) 205-5821

1401 Hospital Dr
Ste 302
Hurricane, WV 25526
Phone (304) 351-1551

77 Hospital Dr
#300
Logan, WV 25601
Phone (304) 792-1259

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405296000000",
    "number": "1245367929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "888 OAKWOOD RD",
            "address_2": "SUITE 210",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253142000",
            "telephone_number": "304-205-5821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "888 OAKWOOD RD",
            "address_2": "SUITE 210",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253142000",
            "telephone_number": "304-205-5821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOBY JOSEPH,MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2014-07-14",
        "status": "A",
        "authorized_official_last_name": "JOSEPH",
        "authorized_official_first_name": "JOBY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-205-5821",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "WV",
            "license": "15460",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0089881000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2014; 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.