Active NPI
Ricardo G Joseph, M.D.
- Emergency Medical Services (Emergency Medicine) Physician
- Madison Heights, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medical Services (Emergency Medicine) Physician
- License
- 4301049790
- Practice address
- 30671 Stephenson Hwy
Madison Heights, MI 48071-1635 - Phone
- (248) 733-2200
- NPI assigned
- Mar 28, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | 4301049790 | MI | Primary |
Addresses
Primary practice location
30671 Stephenson Hwy
Madison Heights, MI 48071-1635
Mailing address
31323 Mayville St
Livonia, MI 48152-3370
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RJ049790 | Other | MI | BC/BS OF MI |
| 104098597 | Medicaid | MI | |
| 104636022 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301049790 | MI | MD | Emergency Medical Services (Emergency Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deckerville Community Hospital, Inc | Current | Accepting new patients | |
| Harbor Beach Community Hospital Inc | Current | Accepting new patients | |
| Williams Emergency Group, LLC | Current | Accepting new patients | |
| Deckerville Community Hospital, Inc. | Current | Accepting new patients | |
| Sound Physicians Emergency Medicine of Michigan, PLLC | Current | Accepting new patients | |
| Harbor Beach Community Hospital Inc | Current | Accepting new patients | |
| Hillsdale Emergency Management Company LLC | Past | Accepting new patients | |
| Henry Ford Health St. John Hospital | Past | Accepting new patients |
Locations
1501 W Chisholm St
Alpena, MI 49707
Phone (989) 356-7000
3559 Pine St
Deckerville, MI 48427
Phone (810) 376-2835
420 W High St
Dowagiac, MI 49047
Phone (269) 782-8681
230 S 1st St
Harbor Beach, MI 48441
Phone (989) 479-3291
210 S 1st St
Harbor Beach, MI 48441
Phone (989) 479-3201
433 W High St
Bryan, OH 43506
Phone (419) 636-1131
909 E Snyder Ave
Montpelier, OH 43543
Phone (419) 485-3154
Organizations & group practices 8
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.
-
- Family Medicine Physician
- Deckerville, MI
- NPI 1164540555
-
- Emergency Medicine Physician
- Adrian, MI
- NPI 1568913473
-
- Emergency Medicine Physician
- Bryan, OH
- NPI 1609334556
-
- Clinic/Center
- Port Sanilac, MI
- NPI 1013799469
-
- Family Medicine Physician
- Harbor Beach, MI
- NPI 1619059458
-
- Medicare Defined Swing Bed Hospital Unit
- Harbor Beach, MI
- NPI 1730146630
-
- Emergency Medicine Physician
- Hillsdale, MI
- NPI 1831351378
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1023088168
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435536000000",
"number": "1750342135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31323 MAYVILLE ST",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481523370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30671 STEPHENSON HWY",
"city": "MADISON HEIGHTS",
"state": "MI",
"postal_code": "480711635",
"telephone_number": "248-733-2200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOSEPH",
"first_name": "RICARDO",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-28",
"last_updated": "2015-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "MI",
"license": "4301049790",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS OF MI",
"identifier": "RJ049790",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104098597",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104636022",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Madison Heights, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.