Peter W. Josimovich, DO

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

1619 Issued in WV

Practice address

10 Amalia Dr
Suite B-1
Buckhannon, WV 26201-2271

Phone

(304) 473-2200

Fax

(304) 473-2057

NPI assigned

Jul 16, 2006

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 1

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

Specialty

Emergency Medicine

Education

West Virginia School of Osteopathic Medicine, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Epmg Southwest Michigan PLLCGroup PAC ID 2769719236, 45 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lakeland Hospital, St Joseph Hospital, St Joseph, MI, CCN 230021
• Corewell Health Watervliet Hospital Hospital, Watervliet, MI, CCN 230078

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 and National Provider Directory roles.

• Epmg Southwest Michigan PLLC

  • Emergency Medicine Physician
  • Saint Joseph, MI
  • NPI 1316405103
  Medicare reassignment Care Compare group NPD
• Greenbrier Emergency Services, Inc.

  • Emergency Medicine Physician
  • Gassaway, WV
  • NPI 1568401461
  NPD (past)

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

• Lakeland Community Hospital Watervliet

  • General Acute Care Hospital
  • Watervliet, MI
  • NPI 1700994845
  Care Compare affiliation
• Lakeland Hospitals at Niles and St Joseph, Inc

  • General Acute Care Hospital
  • Saint Joseph, MI
  • NPI 1134220031
  Care Compare affiliation

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780601591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 AMALIA DR",
            "address_2": "SUITE B-1",
            "city": "BUCKHANNON",
            "state": "WV",
            "postal_code": "262012271",
            "telephone_number": "304-473-2200",
            "fax_number": "304-473-2057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 AMALIA DR",
            "address_2": "SUITE B-1",
            "city": "BUCKHANNON",
            "state": "WV",
            "postal_code": "262012271",
            "telephone_number": "304-473-2200",
            "fax_number": "304-473-2057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSIMOVICH",
        "first_name": "PETER",
        "middle_name": "W.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WV",
            "license": "1619",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0047938000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Jones, FNP-BC
• Rebecca Dawn Jones
• Shamae Celeste Jones
• Sherry A Jones
• Sarah Jordan
• Megan Elizabeth Kaine
• Yaser Kalash, M.D.
• Elizabeth Karashin, D.O.
• Karl C Boone DC Inc
• Marilyn Kay Keith

• Emergency Medicine Physician in Buckhannon, WV
• Providers in Buckhannon, WV by specialty
• Emergency Medicine Physician in West Virginia

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.