Individual provider Active NPI

Joseph C Jameson, M.D.

  • Surgery Physician
  • Marquette, MI
National Provider Identifier
1619974060
Registry record updated Sep 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
JJ057538 Issued in MI
Practice address
1414 W Fair Avenue
Suite 230
Marquette, MI 49855-2675
Phone
(906) 225-3853
Fax
(906) 228-4065
NPI assigned
Jun 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X JJ057538 MI Primary

Addresses

Primary practice location

1414 W Fair Avenue
Suite 230
Marquette, MI 49855-2675

Mailing address

1414 W Fair Avenue
Suite 230
Marquette, MI 49855-2675
Phone (906) 225-3853

Other practice location 1

1010 W North Down River Rd
Grayling, MI 49738-2060
Phone (989) 348-0800

Other identifiers 2

IdentifierTypeStateIssuer
0E26017OtherMIBLUE CROSS/BLUE SHIELD
2917294MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20101109000735 MI Practitioner - General Surgery 6709980964 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Indiana University School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Munson Healthcare GraylingGroup PAC ID 2062736655, 64 clinicians

Practice addresses (Care Compare)

1010 W N Down River Rd
Munson Healthcare Grayling Physician Networ
Grayling, MI 49738-2060
Phone (231) 876-7476

Hospital & facility affiliations

  • Munson Healthcare Grayling Hospital Hospital, Grayling, MI, CCN 230058

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
JJ057538MIMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Munson Healthcare Otsego Memorial Hospital CurrentSince Sep 1, 2020 Accepting new patients
Munson Healthcare Otsego Memorial Hospital CurrentSince Sep 1, 2020 Accepting new patients
Munson Healthcare Grayling Surgery CurrentSince Sep 3, 2019 Accepting new patients
Munson Healthcare Grayling CurrentSince Sep 3, 2019 Accepting new patients
Munson Healthcare Grayling Current Accepting new patients
Constance G. Arnold, M.D.,P.C. Past Accepting new patients
Munson Healthcare Grayling Past Accepting new patients

Locations

3781 Momentum Pl
Chicago, IL 60689

829 N Center Ave
Ste 120
Gaylord, MI 49735
Phone (989) 731-7987

829 N Center Ave
Gaylord, MI 49735
Phone (989) 731-2100

1250 E Michigan Ave
Grayling, MI 49738
Phone (989) 348-0550

1010 W North Down River Rd
Grayling, MI 49738
Phone (989) 348-0800

1100 E Michigan Ave
Grayling, MI 49738
Phone (989) 348-0317

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567728000000",
    "number": "1619974060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 W FAIR AVENUE",
            "address_2": "SUITE 230",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498552675",
            "telephone_number": "906-225-3853",
            "fax_number": "906-228-4065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 W FAIR AVENUE",
            "address_2": "SUITE 230",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498552675",
            "telephone_number": "906-225-3853",
            "fax_number": "906-228-4065"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1010 W North Down River Rd",
            "address_purpose": "LOCATION",
            "city": "Grayling",
            "state": "MI",
            "postal_code": "497382060",
            "country_code": "US",
            "telephone_number": "989-348-0800",
            "fax_number": "989-344-5725",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAMESON",
        "first_name": "JOSEPH",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-30",
        "last_updated": "2019-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "JJ057538",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "0E26017",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2917294",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marquette, MI

Sources for this page

Verify at the official NPI Registry.