Organization Active NPI

Dr. M.T.Joseph M.D.LTD

  • Medical Specialty Clinic/Center
  • Marion, IL
National Provider Identifier
1336328186
Registry record updated Nov 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
DR. M.T.JOSEPH M.D.LTD
Practice address
1009 W Main St
Marion, IL 62959-1841
Phone
(618) 993-8282
Fax
(618) 997-3630
NPI assigned
Oct 29, 2007
Last updated
Nov 29, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2007

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

Authorized official

Name
Dr. Meleth T Joseph, M.D.F.A.C.C
Title
Administrator
Phone
(618) 993-8282

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X IL
Medical Specialty Clinic/Center 261QM2500X IL Primary

Addresses

Primary practice location

1009 W Main St
Marion, IL 62959-1841

Mailing address

1009 W Main St
Marion, IL 62959-1841
Phone (618) 993-8282

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1193616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196294400000",
    "number": "1336328186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 W MAIN ST",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629591841",
            "telephone_number": "618-993-8282",
            "fax_number": "618-997-3630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 W MAIN ST",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629591841",
            "telephone_number": "618-993-8282",
            "fax_number": "618-997-3630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. M.T.JOSEPH M.D.LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-29",
        "last_updated": "2007-11-29",
        "status": "A",
        "authorized_official_last_name": "JOSEPH",
        "authorized_official_first_name": "MELETH",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "618-993-8282",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D.F.A.C.C"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.