Individual provider Active NPI

Ronald Roger Joanette, M.D.

  • Obstetrics & Gynecology Physician
  • Manistee, MI
National Provider Identifier
1548250673
Registry record updated Dec 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
4301045395 Issued in MI
Practice address
1293 E. Parkdale Avenue
Suite 1200a
Manistee, MI 49660
Phone
(231) 398-1550
Fax
(231) 398-1691
NPI assigned
Oct 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 4301045395 MI Primary

Addresses

Primary practice location

1293 E. Parkdale Avenue
Suite 1200a
Manistee, MI 49660

Mailing address

315 Oakgrove St
Manistee, MI 49660-1176
Phone (231) 398-9266

Other practice location 1

829 N Center Ave Ste 200
Gaylord, MI 49735-1598
Phone (989) 731-2105

Other practice location 2

7985 S Mackinaw Trl
Cadillac, MI 49601-8111
Phone (231) 876-6100

Other identifiers 1

IdentifierTypeStateIssuer
5193311MedicaidMI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address RJOANETTE@direct.mhc.net

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301045395MIMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Munson Medical Group Past Accepting new patients
West Shore Health Centers Corporation Past Accepting new patients
West Shore Health Centers Corporation Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: rjoanette@direct.mhc.net

Organizations & group practices 3

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": "1130457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608508800000",
    "number": "1548250673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 OAKGROVE ST",
            "city": "MANISTEE",
            "state": "MI",
            "postal_code": "496601176",
            "telephone_number": "231-398-9266",
            "fax_number": "231-398-9268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1293 E. PARKDALE AVENUE",
            "address_2": "SUITE 1200A",
            "city": "MANISTEE",
            "state": "MI",
            "postal_code": "49660",
            "telephone_number": "231-398-1550",
            "fax_number": "231-398-1691"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "829 N Center Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Gaylord",
            "state": "MI",
            "postal_code": "497351598",
            "country_code": "US",
            "telephone_number": "989-731-2105",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7985 S Mackinaw Trl",
            "address_purpose": "LOCATION",
            "city": "Cadillac",
            "state": "MI",
            "postal_code": "496018111",
            "country_code": "US",
            "telephone_number": "231-876-6100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOANETTE",
        "first_name": "RONALD",
        "middle_name": "ROGER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-28",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "4301045395",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5193311",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "RJOANETTE@direct.mhc.net",
            "affiliation": "N",
            "address_1": "7985 S Mackinaw Trl",
            "city": "Cadillac",
            "state": "MI",
            "country_code": "US",
            "postal_code": "496018111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Manistee, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.