Joseph R Gottesman, LLC

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

Legal business name

JOSEPH R GOTTESMAN, LLC

Practice address

2023 W Guadalupe Rd
Ste 11-181
Mesa, AZ 85202-7371

Phone

(602) 384-4170

Fax

(602) 808-9778

NPI assigned

May 26, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Philip Hamilton

Title

Manager

Phone

(602) 330-6886

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202169600000",
    "number": "1588610646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2023 W GUADALUPE RD",
            "address_2": "STE 11-181",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852027371",
            "telephone_number": "602-384-4170",
            "fax_number": "602-808-9778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2023 W GUADALUPE RD",
            "address_2": "STE 11-181",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852027371",
            "telephone_number": "602-384-4170",
            "fax_number": "602-808-9778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH R GOTTESMAN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2008-02-05",
        "status": "A",
        "authorized_official_last_name": "HAMILTON",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "602-330-6886",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "230334",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Charles M.T. Jost, M.D.

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2008; 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.