DR. JUSTIN P JOSEPH (NPI# 1639592181) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639592181 |
| Entity Type | Individual |
| Full Name | DR. JUSTIN P JOSEPH |
| Credential | D.O. |
| Practice Address |
5300 N Meridian Ave Ste 11c Oklahoma City OK 73112-2179 |
| Mailing Address |
2321 Milano Ln Oklahoma City OK 73120-2828 |
| Practice Telephone | 4055099486 |
| Enumeration Date | 2014-02-03 |
| Last Update Date | 2020-10-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 204D00000X | Neuromusculoskeletal Medicine & OMM | 6005 | OK | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 280771 | NY | Allopathic & Osteopathic Physicians |
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
6005 | OK | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558922864 | Justin Joseph | Student in an Organized Health Care Education/Training Program | 418 Summit Ave, Jersey City, NJ 07306-3101 | 2019-06-26 |
| 1679070502 | Justin John Joseph | Student in an Organized Health Care Education/Training Program | 2606 Hospital Blvd Ste B, Corpus Christi, TX 78405-1804 | 2018-04-08 |
| Street Address |
5300 N MERIDIAN AVE STE 11C |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73112-2179 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972145886 | Crystopher J Long | Physical Therapist | Parkway Post Acute Recovery Center, 6312 N Portland, Oklahoma City, OK 73112 | 2019-10-11 |
| 1700448974 | Joy Healthcare Services of Okc LLC | Home Health | 4200 Perimeter Center Drive, Suite 125, Oklahoma City, OK 73112 | 2019-07-08 |
| 1801380159 | Crysten Cheatwood Do, PC | Obstetrics & Gynecology | 3433 Nw 56 Street, Suite 210b, Oklahoma City, OK 73112 | 2018-06-20 |
| 1306352521 | Victoria Ann Kappel | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3466 Nw 56th St. Suite 760, Oklahoma City, OK 73112 | 2017-12-26 |
| 1871014886 | Tanesia Michelle Smith | Case Management | 2629 W I44 Service Rd, Suite 202, Oklahoma City, OK 73112 | 2017-06-29 |
| 1619414257 | Edwige Gwanyama | Student in an Organized Health Care Education/Training Program | 2401 Nw 39 Th Expy Ste 103, Oklahoma City, OK 73112 | 2017-01-20 |
| 1619424017 | Jennifer Beaver | Peer Specialist | 2808 Nw 31st, Oklahoma City, OK 73112 | 2016-09-02 |
| 1417305368 | Gabriel Plank | Counselor | 3000 Founders Blvd Suite239, Oklahoma City, OK 73112 | 2016-06-01 |
| 1912364365 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 4101 N May Ave, Oklahoma City, OK 73112 | 2016-01-15 |
| 1679938922 | Portland Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | 5501 N Porland Ave, Oklahoma City, OK 73112 | 2015-12-30 |
| Find all providers in zip 73112 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932560760 | Robert Darryl Fisher | Family Medicine | 2203 E Wilshire Blvd, Oklahoma City, OK 73111-8604 | 2016-03-07 |
| 1932591419 | Sitesource Medical, LLC | Family Medicine | 324 N Robinson Ave, Oklahoma City, OK 73102-6416 | 2015-02-20 |
| 1659441228 | Terrance Patrick Mcdermott | Family Medicine | 2536 Sw 29th Street, Mcdermott Clinic, Oklahoma City, OK 73119 | 2006-11-09 |
| 1265916522 | Devika Patel | Family Medicine | 4913 W Reno Ave, Oklahoma City, OK 73127-6339 | 2018-09-21 |
| 1255425377 | William M. Mcafee | Family Medicine | 3400 S Douglas Blvd, Suite 200, Oklahoma City, OK 73150-1014 | 2006-10-03 |
| 1154373488 | Larhonda Kay Sims | Family Medicine | 3330 Nw 56th St, Ste 500, Oklahoma City, OK 73112-4479 | 2006-05-16 |
| 1275518367 | Valerie B Manning Do Pllc | Family Medicine | 3330 Nw 56th St, Suite 305, Oklahoma City, OK 73112-4479 | 2005-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699025973 | Great Salt Plains Health Center, Inc. | Family Medicine | 619 Front Street, Medford, OK 73759-1209 | 2012-09-14 |
| 1447543798 | House Call Physicians, Inc | Family Medicine | 3456 Nw 172nd Ter, Edmond, OK 73012-7098 | 2011-05-19 |
| 1639406325 | Leslie Ann Masters | Family Medicine | 8172 S Lewis Ave Ste D, Tulsa, OK 74137-1248 | 2009-11-17 |
| 1487817375 | Brad Alan Liston | Family Medicine | 1908 N 14th St Ste 204, Ponca City, OK 74601-2039 | 2008-07-09 |
| 1962537902 | Gary Erle Johnston | Family Medicine | 53468 Mineral Springs Rd, Hodgen, OK 74939-3064 | 2007-02-22 |
| 1861436677 | Thomas Ray Crow | Family Medicine | 9170 Us Hwy 70, Waurika, OK 73573 | 2006-06-15 |
| 1699761981 | Larry Dean Sumner | Family Medicine | 204 Woodlawn Ave, Tahlequah, OK 74464-3318 | 2005-09-22 |
| 1942810197 | Kristin Holetzky | Family Medicine | 224 S Chestnut Ave, Moore, OK 73160-5223 | 2020-08-03 |
| 1538672001 | Jeri L Ellis Md, Mph, PC | Family Medicine | 420 N Kickapoo Ave, Shawnee, OK 74801-6643 | 2017-11-07 |
| 1578917217 | Brett Tyler Grobman | Family Medicine | 301 N 1st St, Altus, OK 73523-5004 | 2016-04-19 |
| Find all providers with the same taxonomy | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73112 |
Please comment or provide details below to improve the information on DR. JUSTIN P JOSEPH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.