NPIMap

Organization Active NPI

Gary Joseph DO, Inc.

  • Specialist
  • Independence, OH
National Provider Identifier
1609006329
Registry record updated Jul 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
34.006110 Issued in OH
Legal business name
GARY JOSEPH DO, INC.
Doing business as
BodyLogicMD of Cleveland
Practice address
4700 Rockside Rd
Suite 535
Independence, OH 44131-2155
Phone
(866) 972-5265
Fax
(866) 972-5301
NPI assigned
Jul 15, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2009

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

Authorized official

Name
Dr. Gary Joseph, D.O.
Title
Director
Phone
(866) 972-5265

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 34.006110 OH Primary

Addresses

Primary practice location

4700 Rockside Rd
Suite 535
Independence, OH 44131-2155

Mailing address

4700 Rockside Rd
Suite 535
Independence, OH 44131-2155
Phone (866) 972-5265

Other names 1

  • BodyLogicMD of Cleveland Doing business as

National Provider Directory

National Provider Directory

Locations

4700 Rockside Rd
Ste 535
Independence, OH 44131
Phone (866) 972-5265

NPI Registry JSON

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

{
    "created_epoch": "1247616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247616000000",
    "number": "1609006329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 ROCKSIDE RD",
            "address_2": "SUITE 535",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441312155",
            "telephone_number": "866-972-5265",
            "fax_number": "866-972-5301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 ROCKSIDE RD",
            "address_2": "SUITE 535",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441312155",
            "telephone_number": "866-972-5265",
            "fax_number": "866-972-5301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY JOSEPH DO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-15",
        "last_updated": "2009-07-15",
        "status": "A",
        "authorized_official_last_name": "JOSEPH",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "866-972-5265",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OH",
            "license": "34.006110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BodyLogicMD of Cleveland",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Independence, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2009; 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.