Active NPI
Joseph A Locke, D.O
- General Practice Physician
- Wauwatosa, WI
National Provider Identifier
1902078801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 53594-21
- Practice address
- 2500 N Mayfair Rd Ste 630
Wauwatosa, WI 53226-1428 - Phone
- (262) 202-8312
- Fax
- (414) 973-2870
- NPI assigned
- Mar 31, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 53594-21 | WA | Primary |
Addresses
Primary practice location
2500 N Mayfair Rd Ste 630
Wauwatosa, WI 53226-1428
Mailing address
PO Box 639
Thiensville, WI 53092-0639
Phone (262) 202-8312
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53594-21 | WA | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spectrum Health Medical Clinic | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Pain Medicine (Anesthesiology) Physician
- Germantown, WI
- NPI 1487098638
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569283200000",
"number": "1902078801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 639",
"city": "THIENSVILLE",
"state": "WI",
"postal_code": "530920639",
"telephone_number": "262-202-8312",
"fax_number": "414-973-2870"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 N MAYFAIR RD STE 630",
"city": "WAUWATOSA",
"state": "WI",
"postal_code": "532261428",
"telephone_number": "262-202-8312",
"fax_number": "414-973-2870"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOCKE",
"first_name": "JOSEPH",
"middle_name": "A",
"credential": "D.O",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-03-31",
"last_updated": "2019-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "WA",
"license": "53594-21",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wauwatosa, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.