Joseph Walter King III, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

ME106952 Issued in FL

Practice address

11645 Biscayne Blvd Ste 309
North Miami, FL 33181-3139

Phone

(055) 388-8353

NPI assigned

Mar 31, 2006

Last updated

Sep 13, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JEBCDD/Endpoint/JEBCDD

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.

• Medical & Rehab of Hillsborough Inc

  • Behavior Analyst
  • Tampa, FL
  • NPI 1760937981
  Medicare reassignment NPD
• Premier Community Healthcare Group Inc

  • Federally Qualified Health Center (FQHC)
  • Dade City, FL
  • NPI 1841263399
  Medicare reassignment NPD
• Puremind Wellness Center LLC

  • Developmentally Disabled Services Day Training Agency
  • Clearwater, FL
  • NPI 1649070574
  Medicare reassignment NPD
• First Choice Women's Care PC

  • Specialist
  • Moultrie, GA
  • NPI 1255596631
  NPD (past) Authorized official
• Premier Community Healthcare Group, Inc.

  • Federally Qualified Health Center (FQHC)
  • Zephyrhills, FL
  • NPI 1508445362
  NPD
• All Inclusive Preventive Care LLC

  • Clinic/Center
  • Miami Lakes, FL
  • NPI 1013501113

  Obstetrics & Gynecology

  NPD (past)

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568332800000",
    "number": "1255392890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 232",
            "city": "DADE CITY",
            "state": "FL",
            "postal_code": "335260232",
            "telephone_number": "352-518-2000",
            "fax_number": "352-567-1974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11645 BISCAYNE BLVD STE 309",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331813139",
            "telephone_number": "055-388-8353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "JOSEPH",
        "middle_name": "WALTER",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2019-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "30492",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OK",
            "license": "23325",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME106952",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009934300",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000358883F",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200010040A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan Kessler, SLP
• Keystone Medical Inc
• Kezit Discount Pharmacy
• Umid Khaitanov
• Afzaal Mohammad Khan, APRN
• Stephanie King
• Josefina Kinsey, DDS
• William David Kirsh, DO, MPH
• KJ Therapeutic Learning Center, LLC
• Klass Injury Care LLC

• Obstetrics & Gynecology Physician in North Miami, FL
• Providers in North Miami, FL by specialty
• Obstetrics & Gynecology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.