Individual provider Active NPI

Alice Plummer Joyce, M.D.

  • Dermatology Physician
  • Altoona, PA
National Provider Identifier
1780663104
Registry record updated Sep 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD034860E Issued in PA
Practice address
1101 Logan Blvd
Altoona Dermatology Associates
Altoona, PA 16602-4029
Phone
(814) 943-9879
Fax
(814) 943-1808
NPI assigned
Jan 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X MD034860E PA Primary

Addresses

Primary practice location

1101 Logan Blvd
Altoona Dermatology Associates
Altoona, PA 16602-4029

Mailing address

1101 Logan Blvd
Altoona, PA 16602-4029
Phone (814) 943-9879

Other identifiers 4

IdentifierTypeStateIssuer
0015022030001MedicaidPA
P02088622OtherPALMETTO GBA RAILROAD MEDICARE
203283OtherPAUPMC
722571OtherPAHIGHMARK

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address joyceap@upmc.edu Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20061106000466 PA Practitioner - Dermatology 8022015932

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Altoona Dermatology Associates Inc Dermatology Current Accepting new patients
Altoona Dermatology Associates LLC Dermatology CurrentSince Aug 31, 2018 Accepting new patients

Locations

1101 Logan Blvd
Altoona, PA 16602
Phone (814) 943-9879

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1137110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630540800000",
    "number": "1780663104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 LOGAN BLVD",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166024029",
            "telephone_number": "814-943-9879",
            "fax_number": "814-943-1808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 LOGAN BLVD",
            "address_2": "ALTOONA DERMATOLOGY ASSOCIATES",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166024029",
            "telephone_number": "814-943-9879",
            "fax_number": "814-943-1808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOYCE",
        "first_name": "ALICE",
        "middle_name": "PLUMMER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-13",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PA",
            "license": "MD034860E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015022030001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA RAILROAD MEDICARE",
            "identifier": "P02088622",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC",
            "identifier": "203283",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "722571",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "joyceap@upmc.edu",
            "affiliation": "N",
            "endpointDescription": "secure email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1101 Logan Blvd",
            "address_2": "ALTOONA DERMATOLOGY ASSOCIATES",
            "city": "Altoona",
            "state": "PA",
            "country_code": "US",
            "postal_code": "166024029",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Altoona, PA

Sources for this page

Verify at the official NPI Registry.