Emmanuella Joseph, MD

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Practice address

600 S 13TH St
Suite M
Pekin, IL 61554-4936

Phone

(309) 346-8038

NPI assigned

Jun 15, 2006

Last updated

Mar 24, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Midwest Center for Plastic Surgery

  • Plastic Surgery Physician
  • Decatur, IL
  • NPI 1467512756
  Authorized official Same address or phone

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206316800000",
    "number": "1477597987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2077",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625242077",
            "telephone_number": "217-876-9987",
            "fax_number": "217-876-1792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S 13TH ST",
            "address_2": "SUITE M",
            "city": "PEKIN",
            "state": "IL",
            "postal_code": "615544936",
            "telephone_number": "309-346-8038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "EMMANUELLA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-15",
        "last_updated": "2008-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "09015685",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kirk Johnson, DPT
• Robert Joel Johnson, D.M.D.
• Teah Marie Johnson, AU.D
• Lisa Rene Jones, PHD, LCPC
• Robert W. Jones, P.A.
• Maria Rhodora Kabatay-Lee Ho, MD
• Maria Esperanza Kabatay, MD
• Romeo Villegas Kabatay, MD
• Erika Allyn Keefner
• Anita Keller, BA

• Plastic Surgery Physician in Pekin, IL
• Providers in Pekin, IL by specialty
• Plastic Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.