Individual provider Active NPI

Michael C Josey, M.D.

  • General Practice Physician
  • Saint Marys, OH
National Provider Identifier
1407866262
Registry record updated Apr 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
35-068572 Issued in OH
Practice address
1140 S Knoxville Ave Ste a
Saint Marys, OH 45885-2609
Phone
(419) 394-9959
Fax
(419) 394-0255
NPI assigned
Aug 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 35-068572 OH Primary

Addresses

Primary practice location

1140 S Knoxville Ave Ste a
Saint Marys, OH 45885-2609

Mailing address

200 Saint Clair Ave
Saint Marys, OH 45885-2400
Phone (419) 300-1129

Other identifiers 3

IdentifierTypeStateIssuer
0105065OtherOHMEDICAID GROUP
9934723OtherOHMEDICARE GROUP PTAN
0206191MedicaidOH

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address michaeljosey@glhs.allscriptsdirect.net
Direct Messaging Address michaeljosey@glhs.allscriptsdirect.net Health Information Exchange (HIE)

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
I20080122000248 OH Practitioner - General Practice 0547341125 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
JTDM Family Practice LLC 48 clinicians

Practice addresses (Care Compare)

1140 S Knoxville Ave
Suite a
Saint Marys, OH 45885-2609
Phone (419) 394-9959

Hospital & facility affiliations

  • Grand Lake Home Health Home health agency, St Marys, OH, CCN 367405
  • Grand Lake Health System Hospital, Saint Marys, OH, CCN 360032
  • Mercer County Joint Township Community Hospital Hospital, Coldwater, OH, CCN 360058
  • Mercy Health St Ritas Medical Center Hospital, Lima, OH, CCN 360066

Merit-based Incentive Payment System (MIPS)

Final score
85.44 of 100Reported as group
Quality
78
Promoting interoperability
96
Improvement activities
40
Cost
76.79

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35-068572OHMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
JTDM Family Practice LLC CurrentSince Mar 1, 2010 Accepting new patients
Orthopaedic Institute of Ohio, Inc. Past Accepting new patients
Lima Memorial Joint Operating Company PastSince Mar 1, 2010 Accepting new patients

Locations

801 Pro Dr
Celina, OH 45822
Phone (419) 586-6489

4463 State Route 66
Ste A
Minster, OH 45865
Phone (419) 628-3821

1040 Hager St
Saint Marys, OH 45885
Phone (419) 394-9959

1140 S Knoxville Ave
Ste A
Saint Marys, OH 45885
Phone (419) 394-9959

200 Saint Clair Ave
Saint Marys, OH 45885
Phone (419) 394-3387

Interoperability endpoints

  • Direct secure messaging: michaeljosey@glhs.allscriptsdirect.net

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.

Hospital & facility affiliations 5

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": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618531200000",
    "number": "1407866262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 SAINT CLAIR AVE",
            "city": "SAINT MARYS",
            "state": "OH",
            "postal_code": "458852400",
            "telephone_number": "419-300-1129",
            "fax_number": "419-394-0255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 S KNOXVILLE AVE STE A",
            "city": "SAINT MARYS",
            "state": "OH",
            "postal_code": "458852609",
            "telephone_number": "419-394-9959",
            "fax_number": "419-394-0255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSEY",
        "first_name": "MICHAEL",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2021-04-16",
        "certification_date": "2021-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "OH",
            "license": "35-068572",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP",
            "identifier": "0105065",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "9934723",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0206191",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michaeljosey@glhs.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "1040 Hager St",
            "city": "Saint Marys",
            "state": "OH",
            "country_code": "US",
            "postal_code": "458852421",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michaeljosey@glhs.allscriptsdirect.net",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1140 S Knoxville Ave Ste A",
            "city": "Saint Marys",
            "state": "OH",
            "country_code": "US",
            "postal_code": "458852609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Marys, OH

Sources for this page

Verify at the official NPI Registry.