Organization Active NPI

Roy M Joseph, MD, P.a.

  • Gastroenterology Physician
  • Denton, TX
National Provider Identifier
1407891989
Registry record updated Aug 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
ROY M JOSEPH, MD, P.A.
Practice address
3324 Colorado Blvd
Suite 101
Denton, TX 76210-6890
Phone
(940) 243-7200
Fax
(940) 565-1577
NPI assigned
Jun 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2012

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

Authorized official

Name
Roy M Joseph, MD
Title
Owner
Phone
(940) 243-7200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

3324 Colorado Blvd
Suite 101
Denton, TX 76210-6890

Mailing address

3324 Colorado Blvd
Suite 101
Denton, TX 76210-6890
Phone (940) 243-7200

Other identifiers 2

IdentifierTypeStateIssuer
0029CHOtherTXBC/BS
029534701MedicaidTX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D0963318Roy M Joseph MD PA3324 Colorado Blvd, Suite 101, Denton, TX 76210Certificate of waiverJul 26, 2027

National Provider Directory

National Provider Directory

Locations

3537 S Interstate 35 E
Ste 211
Denton, TX 76210
Phone (940) 382-5400

NPI Registry JSON

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344470400000",
    "number": "1407891989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3324 COLORADO BLVD",
            "address_2": "SUITE 101",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762106890",
            "telephone_number": "940-243-7200",
            "fax_number": "940-565-1577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3324 COLORADO BLVD",
            "address_2": "SUITE 101",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762106890",
            "telephone_number": "940-243-7200",
            "fax_number": "940-565-1577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROY M JOSEPH, MD, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "last_updated": "2012-08-09",
        "status": "A",
        "authorized_official_last_name": "JOSEPH",
        "authorized_official_first_name": "ROY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "940-243-7200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "0029CH",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "029534701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.