Active NPI
Joseph Derosa, D.O.
- Obstetrics & Gynecology Physician
- Coal Grove, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 34004625
- Practice address
- 205 Marion Pike
Coal Grove, OH 45638-3165 - Phone
- (740) 532-1188
- NPI assigned
- Jan 20, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 1329 | WV | |
| Obstetrics & Gynecology Physician | 207V00000X | 34004625 | OH | Primary |
Addresses
Primary practice location
205 Marion Pike
Coal Grove, OH 45638-3165
Mailing address
2585 3Rd Ave
Huntington, WV 25703-1642
Phone (304) 697-1396
Other practice location 1
220 Johns Creek Road
Milton, WV 25541-1513
Phone (304) 743-1407
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001709561 | Other | OH | MT.STATE |
| 0092290000 | Medicaid | WV | |
| 64698939 | Medicaid | KY | |
| 001790560 | Other | WV | MT. STATE |
| 0715417 | Medicaid | OH | |
| 000000178447 | Other | OH | ANTHEM BC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Philadelphia College of Osteopathic Medicine, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1340 Hal Greer Blvd
Huntington, WV 25701-3800
Phone (304) 526-2000
2585 3Rd Ave
Huntington, WV 25703-1642
Hospital & facility affiliations
- Cabell Huntington Hospital, Inc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1329 | WV | MD | Professional Counselor |
| 34004625 | OH | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Health Systems Inc | Obstetrics & Gynecology | Current | Accepting new patients |
| Valley Health Systems Inc | Current | Accepting new patients | |
| Valley Health Systems Inc | Current | Accepting new patients | |
| Valley Health Systems, Inc. | Current | Accepting new patients | |
| Valley Health Systems Inc | Current | Accepting new patients | |
| Valley Health Systems Inc | Current | Accepting new patients | |
| Valley Health Systems Inc | Obstetrics & Gynecology | Current | Accepting new patients |
| Valley Health Systems, Inc. | Current | Accepting new patients | |
| Valley Health Systems Inc | Past | Accepting new patients | |
| Cabell Huntington Hospital Inc | Past | Accepting new patients |
Locations
205 Marion Pike
Ironton, OH 45638
Phone (740) 532-1188
5897 County Road 107
Proctorville, OH 45669
Phone (304) 399-2222
1630 13th Ave
Huntington, WV 25701
Phone (304) 697-2014
2585 3rd Ave
Huntington, WV 25703
Phone (304) 697-1396
220 Johns Creek Rd
Milton, WV 25541
Phone (304) 743-1407
15804 US Route 60
Milton, WV 25541
Phone (304) 743-4444
Interoperability endpoints
- jderosa20147@valleyhealthsystems.direct-ci.com
Organizations & group practices 10
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.
-
- Federally Qualified Health Center (FQHC)
- Coal Grove, OH
- NPI 1629043708
Obstetrics & Gynecology
-
- Obstetrics & Gynecology Physician
- Huntington, WV
- NPI 1184699415
-
- Federally Qualified Health Center (FQHC)
- Milton, WV
- NPI 1548542277
-
- Clinical Medical Laboratory
- Huntington, WV
- NPI 1023083854
-
- Federally Qualified Health Center (FQHC)
- Hurricane, WV
- NPI 1225154206
-
- Federally Qualified Health Center (FQHC)
- Ona, WV
- NPI 1417923236
-
- Federally Qualified Health Center (FQHC)
- Huntington, WV
- NPI 1902962368
-
- Federally Qualified Health Center (FQHC)
- Huntington, WV
- NPI 1508720913
-
- General Acute Care Hospital
- Huntington, WV
- NPI 1073518007
-
- Family Medicine Physician
- Milton, WV
- NPI 1891775557
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Huntington, WV
- NPI 1073518007
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721606400000",
"number": "1477533768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2585 3RD AVE",
"city": "HUNTINGTON",
"state": "WV",
"postal_code": "257031642",
"telephone_number": "304-697-1396",
"fax_number": "304-697-2086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 MARION PIKE",
"city": "COAL GROVE",
"state": "OH",
"postal_code": "456383165",
"telephone_number": "740-532-1188"
}
],
"practiceLocations": [
{
"address_1": "220 Johns Creek Road",
"address_purpose": "LOCATION",
"city": "Milton",
"state": "WV",
"postal_code": "255411513",
"country_code": "US",
"telephone_number": "304-743-1407",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEROSA",
"first_name": "JOSEPH",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-20",
"last_updated": "2024-07-22",
"certification_date": "2024-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "WV",
"license": "1329",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "OH",
"license": "34004625",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MT.STATE",
"identifier": "001709561",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0092290000",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64698939",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MT. STATE",
"identifier": "001790560",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0715417",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC",
"identifier": "000000178447",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Coal Grove, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; 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.