Michelle A. Joseph, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

ACN-849 Issued in FL

Practice address

1918 Blanding Blvd
Jacksonville, FL 32210-3202

Phone

(904) 389-6954

NPI assigned

Nov 18, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

• Direct secure messaging: michelle.joseph.p1@direct.azahealth.nextgenshare.com

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.

• Guidewell Sanitas I, LLC

  dba Clinisanitas

  • Family Medicine Physician
  • Doral, FL
  • NPI 1396124046
  Medicare reassignment NPD
• Rural Health Care Incorporated

  dba Aza Health

  • Federally Qualified Health Center (FQHC)
  • Palatka, FL
  • NPI 1871569061

  General Practice

  Medicare reassignment NPD
• Samara Primary Care Clinic

  • Family Medicine Physician
  • Apopka, FL
  • NPI 1194694612
  Medicare reassignment NPD
• Rural Health Care Incorporated

  dba Azalea Health

  • General Practice Physician
  • Palatka, FL
  • NPI 1124236922
  NPD
• Rural Health Care, Inc.

  dba Aza Health

  • Federally Qualified Health Center (FQHC)
  • Daytona Beach, FL
  • NPI 1891227179
  NPD
• Samara Home Doctor Services, LLC

  dba Samara Primary Care Clinic

  • Primary Care Clinic/Center
  • Apopka, FL
  • NPI 1144704073
  NPD (past)

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

{
    "created_epoch": "1416268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524009600000",
    "number": "1336545375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1918 BLANDING BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322103202",
            "telephone_number": "904-389-6954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1918 BLANDING BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322103202",
            "telephone_number": "904-389-6954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "MICHELLE",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-18",
        "last_updated": "2018-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "18930",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN-849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jerin K Joseph, OD
• Kathleen Joseph, CRNA
• Lashannon Joseph
• Madeline Matar Joseph, M.D.
• Marie M Joseph
• Neirouz Bshara Joseph, MD
• Nieyetta Joseph
• Reshmi Joseph, DO
• Richard Joseph, MD
• Richard Wayne Joseph Sr., DMD

• General Practice Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2018; 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.