Active NPI
Joby Joseph,MD Inc
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- Charleston, WV
National Provider Identifier
1245367929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- License
- 15460
- 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, 2014
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Neuromusculoskeletal Medicine) Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0089881000 | Medicaid | WV |
National Provider Directory
National Provider DirectoryLocations
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.