Individual provider Active NPI

Joshua W Howard, PA

  • Physician Assistant
  • Alpharetta, GA
National Provider Identifier
1841500659
Registry record updated Apr 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
9534 Issued in GA
Practice address
3400 Old Milton Pkwy Ste C290
Alpharetta, GA 30005-6491
Phone
(770) 667-4343
Fax
(770) 772-0937
NPI assigned
Oct 14, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 15-01977 KS
Physician Assistant 363A00000X 1095607 KS
Physician Assistant 363A00000X 2017029767 MO
Physician Assistant 363A00000X 9534 GA Primary

Addresses

Primary practice location

3400 Old Milton Pkwy Ste C290
Alpharetta, GA 30005-6491

Mailing address

1265 Highway 54 W
Ste 102
Fayetteville, GA 30214-4537
Phone (816) 303-2400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170322000065 KS Practitioner - Physician Assistant 7315247616 Reassigns benefits to 1 organization
I20171030000181 MO Practitioner - Physician Assistant 7315247616 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1095607KSMDPhysician Assistant
15-01977KSMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Olathe Health Physicians, Inc. CurrentSince Apr 3, 2017 Accepting new patients
Olathe Health Physicians, Inc. CurrentSince Apr 3, 2017 Accepting new patients
Northside Surgical Professional Services LLC Past Accepting new patients

Locations

23450 College Blvd
Olathe, KS 66061
Phone (913) 355-7788

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1287014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585785600000",
    "number": "1841500659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1265 HIGHWAY 54 W",
            "address_2": "STE 102",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302144537",
            "telephone_number": "816-303-2400",
            "fax_number": "816-303-2484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 OLD MILTON PKWY STE C290",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300056491",
            "telephone_number": "770-667-4343",
            "fax_number": "770-772-0937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOWARD",
        "first_name": "JOSHUA",
        "middle_name": "W",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-14",
        "last_updated": "2020-04-02",
        "certification_date": "2020-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "15-01977",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "1095607",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MO",
            "license": "2017029767",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "9534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

Verify at the official NPI Registry.