Active NPI
Joseph Michael Ahearn III, MD
- Psychiatry Physician
- Bethlehem, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD478772
- Practice address
- 2545 Schoenersville Rd FL 5
Bethlehem, PA 18017-7300 - Phone
- (484) 884-6527
- NPI assigned
- May 27, 2020
- Last updated
- Dec 5, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 2024034697 | MO | |
| Psychiatry Physician | 2084P0800X | MD478772 | PA | Primary |
Addresses
Primary practice location
2545 Schoenersville Rd FL 5
Bethlehem, PA 18017-7300
Mailing address
1812 W Turner St
Allentown, PA 18104-5618
Phone (412) 605-8266
Other practice location 1
11215 Metro Pkwy Ste 100
Fort Myers, FL 33966-1206
Phone (239) 208-2206
Other practice location 2
211 NE 54th St Ste 201
Kansas City, MO 64118-4330
Phone (816) 453-6777
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 2020
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
11215 Metro Pkwy
Suite 1
Fort Myers, FL 33966-1206
761 W Kings College Dr
Saint Johns, FL 32259-5943
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Department of Children and Families | Current | Accepting new patients | |
| Meritas Health | Psychiatry | Current | Accepting new patients |
| Meritas Health Corporation | Current | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
7487 S State Road 121
Macclenny, FL 32063
Phone (904) 259-6211
211 NE 54th St
Ste 2
Kansas City, MO 64118
Phone (816) 453-6777
211 NE 54th St
Ste 201
Kansas City, MO 64118
Phone (816) 453-6777
9411 N Oak Trfy
Ste LL1
Kansas City, MO 64155
Phone (816) 436-7072
Networks
- Freedom Health HMO Network
Interoperability endpoints
- jahearn1595550@direct.lhs.org
Organizations & group practices 5
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.
-
dba Florida State Hospital-Unit 31
- General Acute Care Hospital
- Chattahoochee, FL
- NPI 1710945118
-
dba Northeast Florida State Hospital
- Psychiatric Hospital
- Macclenny, FL
- NPI 1013931765
-
dba Lima Memorial Health System
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba HCA Florida Bayonet Point Hospital
- General Acute Care Hospital
- Hudson, FL
- NPI 1992759419
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733356800000",
"number": "1285257113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1812 W TURNER ST",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181045618",
"telephone_number": "412-605-8266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2545 SCHOENERSVILLE RD FL 5",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "180177300",
"telephone_number": "484-884-6527"
}
],
"practiceLocations": [
{
"address_1": "11215 Metro Pkwy Ste 100",
"address_purpose": "LOCATION",
"city": "Fort Myers",
"state": "FL",
"postal_code": "339661206",
"country_code": "US",
"telephone_number": "239-208-2206",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "211 NE 54th St Ste 201",
"address_purpose": "LOCATION",
"city": "Kansas City",
"state": "MO",
"postal_code": "641184330",
"country_code": "US",
"telephone_number": "816-453-6777",
"fax_number": "816-454-3601",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AHEARN",
"first_name": "JOSEPH",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-05-27",
"last_updated": "2024-12-05",
"certification_date": "2024-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MO",
"license": "2024034697",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "PA",
"license": "MD478772",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bethlehem, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.