Organization Active NPI

Japhet Joseph, MD PC

  • Cardiovascular Disease Physician
  • Bay City, MI
National Provider Identifier
1801113923
Registry record updated Apr 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
JJ0414386 Issued in MI
Legal business name
JAPHET JOSEPH, MD PC
Practice address
714 S Trumbull St
Bay City, MI 48708-4217
Phone
(989) 892-5302
Fax
(989) 892-4692
NPI assigned
Apr 29, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2010

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

Authorized official

Name
Dr. Japhet G Joseph, MDNPI 1578531232
Title
Doctor
Phone
(989) 892-5302

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X JJ0414386 MI Primary

Addresses

Primary practice location

714 S Trumbull St
Bay City, MI 48708-4217

Mailing address

714 S Trumbull St
Bay City, MI 48708-4217
Phone (989) 892-5302

Other identifiers 1

IdentifierTypeStateIssuer
104347610MedicaidMI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100526000701 MI Part B Supplier - Clinic/Group Practice 6507995784 Receives reassigned benefits from 1 practitioner
Practice locations: Bay City, MI; Pigeon, MI; Saginaw, MI

National Provider Directory

National Provider Directory

Locations

714 S Trumbull St
Ste 2
Bay City, MI 48708
Phone (989) 892-8456

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1272499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272499200000",
    "number": "1801113923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 S TRUMBULL ST",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487084217",
            "telephone_number": "989-892-5302",
            "fax_number": "989-892-4692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 S TRUMBULL ST",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487084217",
            "telephone_number": "989-892-5302",
            "fax_number": "989-892-4692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAPHET JOSEPH, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-29",
        "last_updated": "2010-04-29",
        "status": "A",
        "authorized_official_last_name": "JOSEPH",
        "authorized_official_first_name": "JAPHET",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "989-892-5302",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "JJ0414386",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104347610",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.