Individual provider Active NPI

Joseph John Bocka, MD

  • General Practice Physician
  • Mansfield, OH
National Provider Identifier
1386784270
Registry record updated Dec 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
35.066999 Issued in OH
Practice address
770 Balgreen Dr FL 1
Mansfield, OH 44906-4106
Phone
(419) 756-6366
NPI assigned
Feb 8, 2007
Last updated
Dec 6, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 35.066999 OH
General Practice Physician 208D00000X 35.066999 OH Primary

Addresses

Primary practice location

770 Balgreen Dr FL 1
Mansfield, OH 44906-4106

Mailing address

770 Balgreen Dr FL 1
Mansfield, OH 44906-4106

Other practice location 1

335 Glessner Ave
Mansfield, OH 44903-2269
Phone (419) 522-6800

Other identifiers 1

IdentifierTypeStateIssuer
979482MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20080229000331 OH Practitioner - Emergency Medicine 6305730672 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University College of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohiohealth CorporationGroup PAC ID 6305758426, 2,295 clinicians

Practice addresses (Care Compare)

770 Balgreen Dr
FL 1
Mansfield, OH 44906-4106
Phone (419) 756-6366

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.066999OHMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ohiohealth Corporation CurrentSince Jul 1, 2021 Accepting new patients
Ohiohealth Corporation CurrentSince Jul 1, 2021 Accepting new patients
Epmg of Ohio Inc P a Emergency Medicine CurrentSince Nov 1, 2010 Accepting new patients
Mid-Ohio Emergency Group, LLC Emergency Medicine CurrentSince Feb 1, 2019 Accepting new patients
Emergency Medicine Physicians of Medina County, LTD Emergency Medicine Past Accepting new patients
Galion Emergency Physicians Inc Emergency Medicine Past Accepting new patients
Emergency Medicine Physicians of Lake Medina, LTD Emergency Medicine PastSince Sep 18, 2012 Accepting new patients
Emergency Medicine Physicians of Hamilton County, LTD. Emergency Medicine Past Accepting new patients
Emergency Medicine Physicians of Richland County, LTD Emergency Medicine Past Accepting new patients

Locations

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

269 Portland Way S
Galion, OH 44833
Phone (419) 462-4547

225 Elyria St
Lodi, OH 44254
Phone (330) 948-1222

200 Park Ave W
Mansfield, OH 44902
Phone (419) 522-2239

335 Glessner Ave
Mansfield, OH 44903
Phone (419) 522-0320

770 Balgreen Dr
Fl 1
Mansfield, OH 44906
Phone (419) 522-0320

1365 N Lexington Springmill Rd
Ontario, OH 44906
Phone (419) 520-3000

1805 27th St
Portsmouth, OH 45662
Phone (740) 356-5000

199 W Main St
Shelby, OH 44875
Phone (419) 342-5015

Organizations & group practices 10

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670284800000",
    "number": "1386784270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 BALGREEN DR FL 1",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449064106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 BALGREEN DR FL 1",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449064106",
            "telephone_number": "419-756-6366"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "335 Glessner Ave",
            "address_purpose": "LOCATION",
            "city": "Mansfield",
            "state": "OH",
            "postal_code": "449032269",
            "country_code": "US",
            "telephone_number": "419-522-6800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOCKA",
        "first_name": "JOSEPH",
        "middle_name": "JOHN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-08",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35.066999",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "OH",
            "license": "35.066999",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "979482",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, OH

Sources for this page

Verify at the official NPI Registry.