MEDICARE: DR. MICHAEL EDWARD JOSEPH MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207K00000X	Allergy & Immunology Physician	104718	MO
2	207RR0500X	Rheumatology Physician	104718	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	10534	OTHER		COVENTRY HEALTH CARE OF K
4	431659121 64804 A001	OTHER		TRICARE WEST
5	0005751036	OTHER		AETNA
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	XXXXX8519 64804 0000	OTHER		TRICARE FOR LIFE
9	8478	OTHER	MO	BLUE CROSS
10	431659121 0003	OTHER		CIGNA

General Provider Information

NPI Number	:	1902919178
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL EDWARD JOSEPH MD

Provider Business Mailing Address
First Line	:	1727 W 26TH ST
Second Line	:
City	:	JOPLIN
State	:	MO
Zip	:	64804-1513
Country	:	US
Telephone Number	:	417-624-0050
Fax Number	:	417-624-1331

Provider Business Practice Location Address
First Line	:	1027 S MAIN ST STE 202
Second Line	:
City	:	JOPLIN
State	:	MO
Zip	:	64801-4540
Country	:	US
Telephone Number	:	417-624-0050
Fax Number	:	417-624-1331

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/15/2006
Last Update Date	:	10/10/2025

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Directions to “ DR. MICHAEL EDWARD JOSEPH MD” Practice Location

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