DR. NICHOLAS JOSEPH (NPI# 1700152014) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700152014 |
| Entity Type | Individual |
| Full Name | DR. NICHOLAS JOSEPH |
| Credential | M.D. |
| Practice Address |
24463 W 10 Mile Rd Pace Southeast Michigan Southfield MI 48033-2931 |
| Practice Telephone | 8554454554 |
| Mailing Telephone | 8554454554 |
| Enumeration Date | 2012-03-30 |
| Last Update Date | 2016-07-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
4301101234 | MI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477165694 | Nicholas Joseph | Pharmacist | 3001 Eldorado Pkwy, Mckinney, TX 75070-4207 | 2020-08-19 |
| 1720470198 | Nicholas Joseph | Physical Therapist | 170 Taylor Station Rd, Columbus, OH 43213-4491 | 2015-02-23 |
| Street Address |
24463 W 10 MILE RD PACE SOUTHEAST MICHIGAN |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48033-2931 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477012185 | Julija Burakauskas | Nurse Practitioner | 24463 W 10 Mile Rd, Southfield, MI 48033-2931 | 2019-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013531243 | Kenicka Harper | Case Manager/Care Coordinator | 2270 W Nine Mile Rd, Detroit, MI 48033 | 2020-06-03 |
| 1154955292 | Judy C Staples | Registered Nurse | 23800 West 10 Mile Road, Ste. 110, Southfield, MI 48033 | 2020-02-27 |
| 1578193827 | Axel Lee Gruenberg | Peer Specialist | 221790 West 9 Mile, Southfield, MI 48033 | 2020-01-24 |
| 1851958706 | William Beaumont Hospital | Clinic/Center | 26901 Beaumont Blvd., D - 5, Community Health, Southfield, MI 48033 | 2019-05-28 |
| 1396302857 | William Beaumont Hospital | Clinic/Center | Beaumont Service Center, 26901 Beaumont Blvd, Community Health, D - 5, Southfield, MI 48033 | 2019-05-21 |
| 1700442597 | Botsford General Hospital | Clinic/Center | 26901 Beaumont Blvd, Beaumont Service Center, Community Health, D - 5, Southfield, MI 48033 | 2019-05-16 |
| 1558862433 | Oakwood Accountable Care Organization, LLC | Preferred Provider Organization | 26901 Beaumont Blvd., Southfield, MI 48033 | 2018-02-26 |
| 1891228904 | Brandi Becker-wright | Social Worker | 25200 Telegraph Rd Ste 100, Southfield, MI 48033 | 2017-04-05 |
| 1003362252 | Mark Kline | Registered Nurse | 22170 W Nine Mile Rd, Southfield, MI 48033 | 2016-08-28 |
| 1033534797 | Jessica Savageau | Social Worker | 22170 W 9 Mile, Southfield, MI 48033 | 2014-03-04 |
| Find all providers in zip 48033 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255474813 | Kelly Hefferon | Internal Medicine | 21650 W 11 Mile Rd Ste 209, Southfield, MI 48076-3777 | 2007-02-14 |
| 1043314164 | William Stuart Gonte | Internal Medicine | 29877 Telegraph, Ste 401, Southfield, MI 48034 | 2006-09-11 |
| 1972605707 | Md House Calls, Pllc | Internal Medicine | 27760 Franklin Rd, Southfield, MI 48034-2300 | 2006-09-02 |
| 1760445878 | Juan Manuel Perez | Internal Medicine | 24445 Northwestern Hwy, Suite 206, Southfield, MI 48075-6501 | 2006-04-10 |
| 1851798235 | Express Physicians Limited Liability Partnership | Internal Medicine | 17330 Northland Park Ct, Southfield, MI 48075-4318 | 2014-12-01 |
| 1245633411 | Platinum Care Physicians PC | Internal Medicine | 27207 Lahser Rd, Suite 250, Southfield, MI 48034-2168 | 2014-10-02 |
| 1548683246 | Global Health Services Pllc | Internal Medicine | 29508 Southfield Rd, Suite #202, Southfield, MI 48076-2022 | 2014-01-31 |
| 1083789358 | Robert Legg | Internal Medicine | 24445 Northwestern Hwy, Suite # 206, Southfield, MI 48075-6501 | 2006-11-22 |
| 1700950607 | Lake Mi Mobile Doctors, P.C. | Internal Medicine | 24445 Northwestern Hwy, Suite #206, Southfield, MI 48075-6501 | 2006-11-20 |
| 1972672103 | Arthur A Efros | Internal Medicine | 28625 Northwestern Hwy, Suite 213, Southfield, MI 48034-1828 | 2006-11-06 |
| Find all providers in SOUTHFIELD | ||||
| City | SOUTHFIELD |
| Zip Code | 48033 |
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| 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.