Paul Marc Joubert, D.O.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

R4J19 Issued in MO

Practice address

8550 Marshall Dr
Suite 220 Administration
Lenexa, KS 66214-1505

Phone

(913) 495-2000

Fax

(913) 495-3727

NPI assigned

Aug 22, 2005

Last updated

Dec 18, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lees Summit Clinic Inc

  • Family Medicine Physician
  • Lee's Summit, MO
  • NPI 1548252083
  NPD

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

{
    "created_epoch": "1124668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355788800000",
    "number": "1689666042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 SW 3RD ST",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640632212",
            "telephone_number": "816-524-3799",
            "fax_number": "913-495-3727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8550 MARSHALL DR",
            "address_2": "SUITE 220 ADMINISTRATION",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662141505",
            "telephone_number": "913-495-2000",
            "fax_number": "913-495-3727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOUBERT",
        "first_name": "PAUL",
        "middle_name": "MARC",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-22",
        "last_updated": "2012-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "R4J19",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "243156007",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01023740",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emma Katherine Jones
• Morgan Katelyn Jones, DC
• Tawanda Lashay Jones
• Cody Jorgensen, MD
• Stacy Joslyn, LMSW
• Journey Embraced Counseling LLC
• Ellen Jurgensmeyer
• Savannah Marie Jurgeson, BA, MS
• Christopher Jurief, DO
• Stuart M. Kagan, M.D.

• Internal Medicine Physician in Lenexa, KS
• Providers in Lenexa, KS by specialty
• Internal Medicine Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2012; 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.