Individual provider Active NPI

John Joseph, MD

  • Pain Medicine (Anesthesiology) Physician
  • Menasha, WI
National Provider Identifier
1801828074
Registry record updated Sep 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
39628-020 Issued in WI
Practice address
1517 Rue Reynard St
Menasha, WI 54952-2946
Phone
(920) 725-5718
NPI assigned
Jul 7, 2006
Last updated
Sep 30, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 39628020 WI
Pain Medicine (Anesthesiology) Physician 207LP2900X 39628-020 WI Primary

Addresses

Primary practice location

1517 Rue Reynard St
Menasha, WI 54952-2946

Mailing address

1517 Rue Reynard St
Menasha, WI 54952-2946
Phone (920) 725-5718

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20040902000251 WI Practitioner - Interventional Pain ManagementPractitioner - Anesthesiology 4880669779 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Anesthesiology
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Integrative Pain Management, SCGroup PAC ID 8921009978, 5 clinicians

Practice addresses (Care Compare)

510 Doctors CT
Oshkosh, WI 54901-2026
Phone (920) 230-7246

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
39628-020WIMDAnesthesiology Physician
39628020WIMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Pain Management SC Anesthesiology CurrentSince Jan 2, 2007 Accepting new patients
Ascension Calumet Hospital, Inc CurrentSince Jun 19, 2024 Accepting new patients
Integrative Pain Management SC Pain Medicine CurrentSince Jan 2, 2007 Accepting new patients
New Anesthesiology SC Anesthesiology Past Accepting new patients
Anesthesia Services of the Fox Valley SC Anesthesiology Past Accepting new patients

Locations

1506 S Oneida St
Appleton, WI 54915
Phone (920) 730-4950

1818 N Meade St
Appleton, WI 54911
Phone (920) 731-4101

614 Memorial Dr
Chilton, WI 53014
Phone (800) 458-4042

3108 Mid Valley Dr
De Pere, WI 54115
Phone (920) 432-9040

500 S Oakwood Rd
Oshkosh, WI 54904
Phone (920) 223-0501

510 Doctors Ct
Oshkosh, WI 54901
Phone (920) 230-7246

555 S Washburn St
Oshkosh, WI 54904
Phone (920) 230-7246

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317340800000",
    "number": "1801828074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1517 RUE REYNARD ST",
            "city": "MENASHA",
            "state": "WI",
            "postal_code": "549522946",
            "telephone_number": "920-725-5718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1517 RUE REYNARD ST",
            "city": "MENASHA",
            "state": "WI",
            "postal_code": "549522946",
            "telephone_number": "920-725-5718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "JOHN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2011-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WI",
            "license": "39628020",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "WI",
            "license": "39628-020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Menasha, WI

Sources for this page

Verify at the official NPI Registry.