Active NPI
Anthony E Joseph, MD
- Sports Medicine (Family Medicine) Physician
- Pocatello, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Family Medicine) Physician
- License
- M-6309
- Practice address
- 2240 E Center St
Pocatello, ID 83201-2600 - Phone
- (208) 233-2100
- Fax
- (208) 233-3146
- NPI assigned
- Sep 8, 2005
- 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 |
|---|---|---|---|---|
| Sports Medicine (Family Medicine) Physician | 207QS0010X | M-6309 | ID | Primary |
Addresses
Primary practice location
2240 E Center St
Pocatello, ID 83201-2600
Mailing address
2240 E Center St
Pocatello, ID 83201-2600
Phone (208) 233-2100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770877888 | Medicaid | ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- St. Louis College of Physicians and Surgeons, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2240 E Ctr St
Pocatello, ID 83201-2600
Phone (208) 233-2100
777 Hospital Way
Pocatello, ID 83201-5175
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M-6309 | ID | MD | Sports Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pocatello Health Services, LLC | Current | Accepting new patients | |
| Pocatello Health Services, LLC | Current | Accepting new patients | |
| Pocatello Health Services, LLC | Current | Accepting new patients | |
| Pocatello Hospital LLC | Past | Accepting new patients |
Locations
777 Hospital Way
Ste 202
Pocatello, ID 83201
Phone (208) 239-2640
333 N 18th Ave
Ste D1
Pocatello, ID 83201
Phone (208) 233-2100
2240 E Center St
Pocatello, ID 83201
Phone (208) 233-2100
465 Memorial Dr
Pocatello, ID 83201
Phone (208) 234-4700
Interoperability endpoints
- ajoseph@direct.orthoida.com
- tjoseph261947@ahs.direct-ci.com
Organizations & group practices 4
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.
-
- General Acute Care Hospital
- Pocatello, ID
- NPI 1689802852
-
- Durable Medical Equipment & Medical Supplies
- Pocatello, ID
- NPI 1154089126
-
- General Acute Care Hospital
- Pocatello, ID
- NPI 1215165485
-
- Internal Medicine Physician
- Pocatello, ID
- NPI 1760610935
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital Unit
- Pocatello, ID
- NPI 1144262114
-
- General Acute Care Hospital
- Pocatello, ID
- NPI 1790751055
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630972800000",
"number": "1922092741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2240 E CENTER ST",
"city": "POCATELLO",
"state": "ID",
"postal_code": "832012600",
"telephone_number": "208-233-2100",
"fax_number": "208-233-3146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2240 E CENTER ST",
"city": "POCATELLO",
"state": "ID",
"postal_code": "832012600",
"telephone_number": "208-233-2100",
"fax_number": "208-233-3146"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOSEPH",
"first_name": "ANTHONY",
"middle_name": "E",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-08",
"last_updated": "2021-09-07",
"certification_date": "2021-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "ID",
"license": "M-6309",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1770877888",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pocatello, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.