Organization Active NPI

Robert L. Joseph, MD, Inc

  • Ophthalmology Physician
  • Wheeling, WV
National Provider Identifier
1720119597
Registry record updated Sep 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
ROBERT L. JOSEPH, MD, INC
Practice address
1300 Market St
Wheeling, WV 26003-3353
Phone
(304) 232-8440
Fax
(304) 232-6928
NPI assigned
Mar 7, 2007
Last updated
Sep 25, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2007

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

Authorized official

Name
Robert L J, MD
Title
Owner
Phone
(304) 232-8440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X NU Primary

Addresses

Primary practice location

1300 Market St
Wheeling, WV 26003-3353

Mailing address

1300 Market St
Wheeling, WV 26003-3353
Phone (304) 232-8440

Other identifiers 2

IdentifierTypeStateIssuer
0095927000MedicaidWV
0450631MedicaidOH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190678400000",
    "number": "1720119597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 MARKET ST",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260033353",
            "telephone_number": "304-232-8440",
            "fax_number": "304-232-6928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 MARKET ST",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260033353",
            "telephone_number": "304-232-8440",
            "fax_number": "304-232-6928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT L. JOSEPH, MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2007-09-25",
        "status": "A",
        "authorized_official_last_name": "J",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-232-8440",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0095927000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0450631",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheeling, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.

Verify at the official NPI Registry.