Individual provider Active NPI

Mina Joseph, DO

  • Pediatrics Physician
  • Duncan, OK
National Provider Identifier
1336678564
Registry record updated Jul 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
6991 Issued in OK
Practice address
2502 W Elk Ave
Duncan, OK 73533-1562
Phone
(580) 252-9600
NPI assigned
Jun 10, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 6991 OK Primary

Addresses

Primary practice location

2502 W Elk Ave
Duncan, OK 73533-1562

Mailing address

2502 W Elk Ave
Duncan, OK 73533-1562
Phone (580) 252-9600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20200811000706 OK Practitioner - Pediatric Medicine 5496170268 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Duncan Regional Hospital, Inc. Single Specialty Current Accepting new patients
Duncan Regional Hospital, Inc Single Specialty CurrentSince Mar 1, 2024 Accepting new patients
Duncan Regional Hospital, Inc Single Specialty CurrentSince Mar 1, 2024 Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

2434 Harville Rd
Ste 601
Duncan, OK 73533
Phone (580) 252-1373

2502 W Elk Ave
Duncan, OK 73533
Phone (580) 252-9600

2230 Duncan Regional Loop
Duncan, OK 73533
Phone (580) 252-0100

Interoperability endpoints

  • Direct secure messaging: mjoseph543212@direct.hfhs.org
  • Direct secure messaging: mina.joseph@direct.drhhealth.org

Organizations & group practices 4

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": "1497052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594944000000",
    "number": "1336678564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2502 W ELK AVE",
            "city": "DUNCAN",
            "state": "OK",
            "postal_code": "735331562",
            "telephone_number": "580-252-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2502 W ELK AVE",
            "city": "DUNCAN",
            "state": "OK",
            "postal_code": "735331562",
            "telephone_number": "580-252-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "MINA",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-10",
        "last_updated": "2020-07-17",
        "certification_date": "2020-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "OK",
            "license": "6991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duncan, OK

Sources for this page

Verify at the official NPI Registry.