Active NPI
Joel D Humphrey, M.D.
- Emergency Medical Services (Emergency Medicine) Physician
- Gladwin, MI
National Provider Identifier
1699703637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medical Services (Emergency Medicine) Physician
- License
- 050649
- Practice address
- 515 Quarter St
Gladwin, MI 48624-1959 - Phone
- (989) 426-9286
- NPI assigned
- Jun 29, 2006
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | 050649 | MI | Primary |
Addresses
Primary practice location
515 Quarter St
Gladwin, MI 48624-1959
Mailing address
2050 Willow Beach St
Keego Harbor, MI 48320-1210
Phone (248) 342-8025
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| JH050649 | Other | MI | BLUE SHIELD |
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 |
|---|---|---|---|
| 050649 | MI | MD | Emergency Medical Services (Emergency Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospitalmd of Caro Ip, Inc. | Past | Accepting new patients | |
| Stat Care PC | Emergency Medical Services | Past | Accepting new patients |
| Chase Dennis Emergency Medical Group Inc | Past | Accepting new patients | |
| Emcare Physician Providers, Inc | Past | Accepting new patients | |
| Statcare PC | Past | Accepting new patients | |
| Obscare PC | Past | Accepting new patients | |
| Epmg of Michigan, P.C. | Past | Accepting new patients | |
| Sturgis Emergency Physicians PLLC | Past | Accepting new patients | |
| Emcare Physician Providers, Inc | Past | Accepting new patients | |
| Three Rivers Emergency Physicians PLLC | Past | Accepting new patients |
Organizations & group practices 10
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.
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- NPI 1386688992
-
- Hospitalist Physician
- Caro, MI
- NPI 1003096371
-
- Emergency Medicine Physician
- Grand Blanc, MI
- NPI 1255361598
-
- Emergency Medical Services (Emergency Medicine) Physician
- Flint, MI
- NPI 1013919372
-
- Emergency Medicine Physician
- Grand Blanc, MI
- NPI 1255333498
-
- Emergency Medicine Physician
- Sturgis, MI
- NPI 1629349238
-
- Emergency Medicine Physician
- Three Rivers, MI
- NPI 1942585872
-
- Emergency Medicine Physician
- Santa Rosa, CA
- NPI 1033152350
-
- Emergency Medicine Physician
- Winslow, AZ
- NPI 1144270315
-
- Emergency Medicine Physician
- Parker, AZ
- NPI 1821048927
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1699703637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2050 WILLOW BEACH ST",
"city": "KEEGO HARBOR",
"state": "MI",
"postal_code": "483201210",
"telephone_number": "248-342-8025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 QUARTER ST",
"city": "GLADWIN",
"state": "MI",
"postal_code": "486241959",
"telephone_number": "989-426-9286"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUMPHREY",
"first_name": "JOEL",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "MI",
"license": "050649",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "JH050649",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gladwin, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.