Organization Active NPI

Joseph V. Giannobile, M.D., a Professional Medical Corporation

  • Allergy & Immunology Physician
  • Monroe, LA
National Provider Identifier
1285951921
Registry record updated Apr 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
MD.203247 Issued in LA
Legal business name
JOSEPH V. GIANNOBILE, M.D., A PROFESSIONAL MEDICAL CORPORATION
Practice address
1806 Aurora St
Monroe, LA 71201-2102
Phone
(318) 398-1989
NPI assigned
Apr 20, 2010
Last updated
Apr 20, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2010

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

Authorized official

Name
Dr. Joseph Vincent Giannobile, M.D.NPI 1881806875
Title
President
Phone
(318) 398-1989

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207K00000X MD.203247 LA Primary

Addresses

Primary practice location

1806 Aurora St
Monroe, LA 71201-2102

Mailing address

1806 Aurora St
Monroe, LA 71201-2102
Phone (318) 398-1989

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100823000573 LA Part B Supplier - Clinic/Group Practice 5890829154 Receives reassigned benefits from 1 practitioner
Practice locations: Monroe, LA

National Provider Directory

National Provider Directory

Locations

3200 Forsythe Ave
Monroe, LA 71201
Phone (318) 398-1989

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1271721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271721600000",
    "number": "1285951921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1806 AURORA ST",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712012102",
            "telephone_number": "318-398-1989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1806 AURORA ST",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712012102",
            "telephone_number": "318-398-1989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH V. GIANNOBILE, M.D., A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-20",
        "last_updated": "2010-04-20",
        "status": "A",
        "authorized_official_last_name": "GIANNOBILE",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "VINCENT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "318-398-1989",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": "LA",
            "license": "MD.203247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.