Physician Compare National (NPI:1043288053)

HEALTHCARE PROVIDER: JOHN ROBERT JOSEPH M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1043288053
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5799858973
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20080722000046
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	JOSEPH
	Individual professional last name
Provider First Name	JOHN
	Individual professional first name
Provider Middle Name	R
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1990
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	135 E MAPLE RD
	Group Practice or individual's line 1 address
City	TROY
	Group Practice or individual's city
State	MI
	Group Practice or individual's state
Zip Code	480832715
	Group Practice or individual's zip code (9 digits when available)
Phone Number	2485282525
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	230130
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	BEAUMONT HOSPITAL, ROYAL OAK
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	230269
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	BEAUMONT HOSPITAL, TROY
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	M