Active NPI
Joseph William Doe IV, M.D.
- Ophthalmology Physician
- Gaylord, MI
National Provider Identifier
1407984909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 4301081575
- Practice address
- 350 W North St
Gaylord, MI 49735-1525 - Phone
- (989) 732-6455
- Fax
- (989) 732-1102
- NPI assigned
- Feb 28, 2007
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 4301081575 | MI | Primary |
Addresses
Primary practice location
350 W North St
Gaylord, MI 49735-1525
Mailing address
PO Box 1665
Gaylord, MI 49734-5665
Phone (989) 732-6455
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Michigan State University College of Human Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1052 Gull Rd
Kalamazoo, MI 49048-1734
Phone (269) 343-1684
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 201 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301081575 | MI | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paragon Health, PC | Ophthalmology | Current | Accepting new patients |
| Paragon Health PC | Current | Accepting new patients | |
| Alpine Eye Care, PC | Ophthalmology | Past | Accepting new patients |
| Miles W Trumble MD PLLC | Ophthalmology | Past | Accepting new patients |
| Jeffrey K Chaulk MD PC | Ophthalmology | Past | Accepting new patients |
Locations
1052 Gull Rd
Kalamazoo, MI 49048
Phone (269) 343-1684
Organizations & group practices 5
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.
-
dba Bear River Eye Associates
- Ophthalmology Physician
- Petoskey, MI
- NPI 1467644732
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Kalamazoo, MI
- NPI 1831116441
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1407984909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1665",
"city": "GAYLORD",
"state": "MI",
"postal_code": "497345665",
"telephone_number": "989-732-6455",
"fax_number": "989-732-1102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 W NORTH ST",
"city": "GAYLORD",
"state": "MI",
"postal_code": "497351525",
"telephone_number": "989-732-6455",
"fax_number": "989-732-1102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOE IV",
"first_name": "JOSEPH",
"middle_name": "WILLIAM",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MI",
"license": "4301081575",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gaylord, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.