Active NPI
Joseph M Drinka, M.D.
- Psychiatry Physician
- Fond Du Lac, WI
National Provider Identifier
1407870140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 23026-020
- Practice address
- 751 County Road K
Fond Du Lac, WI 54935 - Phone
- (920) 929-3800
- NPI assigned
- Jul 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 23026-020 | WI | Primary |
Addresses
Primary practice location
751 County Road K
Fond Du Lac, WI 54935
Mailing address
4805 Mueller LN
West Bend, WI 53095-9263
Phone (262) 227-5627
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30752200 | Medicaid | WI | |
| 10599 | Other | WI | DEAN HEALTH PLAN # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23026-020 | WI | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Foot Clinic, SC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Podiatrist
- Fond Du Lac, WI
- NPI 1063515526
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1407870140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4805 MUELLER LN",
"city": "WEST BEND",
"state": "WI",
"postal_code": "530959263",
"telephone_number": "262-227-5627"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "751 COUNTY ROAD K",
"city": "FOND DU LAC",
"state": "WI",
"postal_code": "54935",
"telephone_number": "920-929-3800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRINKA",
"first_name": "JOSEPH",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-26",
"last_updated": "2023-03-07",
"certification_date": "2021-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "WI",
"license": "23026-020",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30752200",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEAN HEALTH PLAN #",
"identifier": "10599",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fond Du Lac, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.