Individual provider Active NPI

John P Joyce, M.D.

  • Dermatology Physician
  • Altoona, PA
National Provider Identifier
1306825658
Registry record updated Dec 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD043831L Issued in PA
Practice address
1101 Logan Blvd
Altoona Dermatology Associates
Altoona, PA 16602-4029
Phone
(814) 943-9879
Fax
(814) 943-1808
NPI assigned
Jan 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 26, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X MD043831L PA Primary

Addresses

Primary practice location

1101 Logan Blvd
Altoona Dermatology Associates
Altoona, PA 16602-4029

Mailing address

1101 Logan Blvd
Altoona, PA 16602-4029
Phone (814) 943-9879

Other identifiers 4

IdentifierTypeStateIssuer
110049534OtherPAPALMETTO GBA
203284OtherPAUPMC
0013954800002MedicaidPA
660573OtherPAHIGHMARK

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20061106000422 PA Practitioner - Dermatology 2264439173 Receives reassigned benefits from 1 practitioner
Practice locations: Altoona, PA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Altoona Dermatology Associates LLC Dermatology CurrentSince Sep 1, 2018 Accepting new patients
Altoona Dermatology Associates Inc Dermatology Current Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

1101 Logan Blvd
Altoona, PA 16602
Phone (814) 943-9879

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1137196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198627200000",
    "number": "1306825658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 LOGAN BLVD",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166024029",
            "telephone_number": "814-943-9879",
            "fax_number": "814-943-1808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 LOGAN BLVD",
            "address_2": "ALTOONA DERMATOLOGY ASSOCIATES",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166024029",
            "telephone_number": "814-943-9879",
            "fax_number": "814-943-1808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOYCE",
        "first_name": "JOHN",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-14",
        "last_updated": "2007-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PA",
            "license": "MD043831L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA",
            "identifier": "110049534",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC",
            "identifier": "203284",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0013954800002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "660573",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Altoona, PA

Sources for this page

Verify at the official NPI Registry.