Active NPI
Ronald Roger Joanette, M.D.
- Obstetrics & Gynecology Physician
- Manistee, MI
National Provider Identifier
1548250673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 4301045395
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5193311 | Medicaid | MI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 4301045395 | MI | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New 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
- 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.
-
- Geriatric Medicine (Internal Medicine) Physician
- Traverse City, MI
- NPI 1326801440
-
- Rural Health Clinic/Center
- Onekama, MI
- NPI 1063625192
-
- Rural Health Clinic/Center
- Onekama, MI
- NPI 1366515611
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.