Organization Active NPI

Joseph Jose MD LLC

  • Primary Care Clinic/Center
  • Struthers, OH
National Provider Identifier
1366640989
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
35090060 Issued in OH
Legal business name
JOSEPH JOSE MD LLC
Practice address
49 State St
Struthers, OH 44471
Phone
(330) 755-2124
Fax
(330) 755-2276
NPI assigned
Jul 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Joseph Jose, MD
Title
Physician
Phone
(330) 755-2124

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 35090060 OH Primary

Addresses

Primary practice location

49 State St
Struthers, OH 44471

Mailing address

49 State St
Struthers, OH 44471
Phone (330) 755-2124

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1183593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366640989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 STATE ST",
            "city": "STRUTHERS",
            "state": "OH",
            "postal_code": "44471",
            "telephone_number": "330-755-2124",
            "fax_number": "330-755-2276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 STATE ST",
            "city": "STRUTHERS",
            "state": "OH",
            "postal_code": "44471",
            "telephone_number": "330-755-2124",
            "fax_number": "330-755-2276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH JOSE MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOSE",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "330-755-2124",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "OH",
            "license": "35090060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Struthers, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.