Individual provider Active NPI

Dan William Joachim, M.D.

  • Clinical Neurophysiology Physician
  • Covington, LA
National Provider Identifier
1407972680
Registry record updated Feb 22, 2008
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(3) exclusion effective Aug 20, 2012.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Clinical Neurophysiology PhysicianTaxonomy code 2084N0600X
License
019070 Issued in LA
Practice address
76 Starbrush Cir
Covington, LA 70433-7208
Phone
(985) 871-6800
Fax
(866) 845-8810
NPI assigned
Mar 21, 2007
Last updated
Feb 22, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neurophysiology Physician 2084N0600X 019070 LA Primary

Addresses

Primary practice location

76 Starbrush Cir
Covington, LA 70433-7208

Mailing address

76 Starbrush Cir
Covington, LA 70433-7208
Phone (985) 871-6800

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)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
19070LAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Neuro Physiological Associates Clinical Neurophysiology Past Accepting new patients
Texas Neuro Physiological Associates, P.a. Clinical Neurophysiology PastSince Apr 30, 2003 Accepting new patients
Neuro Physiological Associates of Georgia, P.C. Clinical Neurophysiology PastSince Apr 30, 2003 Accepting new patients
Physicians Analytical Services, LLC Clinical Neurophysiology Past Accepting new patients

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203638400000",
    "number": "1407972680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 STARBRUSH CIR",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704337208",
            "telephone_number": "985-871-6800",
            "fax_number": "866-845-8810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 STARBRUSH CIR",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704337208",
            "telephone_number": "985-871-6800",
            "fax_number": "866-845-8810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOACHIM",
        "first_name": "DAN",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-21",
        "last_updated": "2008-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "LA",
            "license": "019070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, LA

Sources for this page

Verify at the official NPI Registry.