Individual provider Active NPI

Joseph Y Labastille, M.D.

  • Family Medicine Physician
  • Twinsburg, OH
National Provider Identifier
1477638773
Registry record updated Oct 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35077059 Issued in OH
Practice address
2676 E Aurora Rd
102
Twinsburg, OH 44087-6805
Phone
(330) 425-8888
Fax
(330) 425-8899
NPI assigned
Oct 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35077059 OH Primary

Addresses

Primary practice location

2676 E Aurora Rd
102
Twinsburg, OH 44087-6805

Mailing address

4700 Rockside Rd
Suite 200
Independence, OH 44131-2155
Phone (216) 643-3000

Other identifiers 1

IdentifierTypeStateIssuer
2135166MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061204000032 OH Practitioner - Family Practice 0941209845 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neighborhood Health Care IncorporatedGroup PAC ID 2668466012, 68 clinicians

Practice addresses (Care Compare)

6412 Franklin Blvd
Cleveland, OH 44102-3153
Phone (216) 281-0872

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35077059OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborhood Health Care Incorporated CurrentSince Mar 14, 2015 Accepting new patients
Neighborhood Health Care Incorporated Current Accepting new patients
The Metrohealth System Current Accepting new patients
Neighborhood Health Care Incorporated CurrentSince Mar 14, 2015 Accepting new patients
Neighborhood Health Care Incorporated Past Accepting new patients
Neighborhood Health Care Incorporated Past Accepting new patients
Northeast Ohio Emergency Affiliates Past Accepting new patients
Neighborhood Health Care Incorporated Past Accepting new patients
Neighborhood Health Care Incorporated Past Accepting new patients
Neighborhood Health Care Incorporated Past Accepting new patients
Bailin and Sundaresh, Inc. Past Accepting new patients
The Cleveland Clinic Foundation Past Accepting new patients

Locations

11709 Lorain Ave
Cleveland, OH 44111
Phone (216) 367-1004

3569 Ridge Rd
Cleveland, OH 44102

4115 Bridge Ave
Ste 300
Cleveland, OH 44113
Phone (216) 237-6129

6412 Franklin Blvd
Cleveland, OH 44102
Phone (216) 363-7733

2358 Professor Ave
Cleveland, OH 44113
Phone (216) 334-2800

3545 Ridge Rd
Ste 2
Cleveland, OH 44102
Phone (216) 961-6860

14625 Puritas Ave
Cleveland, OH 44135
Phone (216) 928-1950

13027 Lorain Ave
Cleveland, OH 44111
Phone (216) 688-1046

2500 Metrohealth Dr
Cleveland, OH 44109
Phone (216) 778-2348

11906 Madison Ave
Lakewood, OH 44107

Interoperability endpoints

  • Direct secure messaging: jlabastille144907@direct.ochin.org
  • Direct secure messaging: jlabastille102918@direct.metrohealth.org

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193011200000",
    "number": "1477638773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 ROCKSIDE RD",
            "address_2": "SUITE 200",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441312155",
            "telephone_number": "216-643-3000",
            "fax_number": "216-643-3011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2676 E AURORA RD",
            "address_2": "102",
            "city": "TWINSBURG",
            "state": "OH",
            "postal_code": "440876805",
            "telephone_number": "330-425-8888",
            "fax_number": "330-425-8899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LABASTILLE",
        "first_name": "JOSEPH",
        "middle_name": "Y",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2007-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35077059",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2135166",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Twinsburg, OH

Sources for this page

Verify at the official NPI Registry.