Joseph Loncarevich, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

0093 Issued in SD

Practice address

401 6TH Ave W
Lemmon, SD 57638-1318

Phone

(605) 374-3773

Fax

(605) 374-3425

NPI assigned

Sep 25, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• West River Health Services

  dba Lemmon Clinic

  • Rural Health Clinic/Center
  • Lemmon, SD
  • NPI 1801987904
  NPD (past)
• West River Health Services

  dba West River Regional Medical Center

  • Physical Therapy Clinic/Center
  • Mott, ND
  • NPI 1902526411
  NPD (past)

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821198144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 HIGHWAY 12",
            "city": "HETTINGER",
            "state": "ND",
            "postal_code": "586397530",
            "telephone_number": "701-567-4561",
            "fax_number": "701-567-6361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 6TH AVE W",
            "city": "LEMMON",
            "state": "SD",
            "postal_code": "576381318",
            "telephone_number": "605-374-3773",
            "fax_number": "605-374-3425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONCAREVICH",
        "first_name": "JOSEPH",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "SD",
            "license": "0093",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF NORTH DAKOT",
            "identifier": "19919",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lemmon School District 52-4
• Jason Lillich, CSW-PIP, QMHP
• Live Center Inc
• Live Center Inc.
• Live Center Inc. (Arrow Public Transit)
• Allan McGough, MSW-LCSW-QMHP
• Patrick Poitra, LPC, QMHP
• Prairie Rose Suites Assisted Living (Lemmon Area Medical Association)
• Stateline Drug Inc (Smith's Drug)
• Three Rivers Mental Health and Chemical Dependency Center (Three Rivers Counseling)

• Medical Physician Assistant in Lemmon, SD
• Providers in Lemmon, SD by specialty
• Medical Physician Assistant in South Dakota

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.