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NPI Code Detail

MEDICARE: JAMES JOSEPH JR. M.D.

MEDICARE: JAMES JOSEPH JR. M.D.
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
1207XS0114XAdult Reconstructive Orthopaedic Surgery Physician04-21150KS

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
4200045359OTHERRR MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11260OTHERKSPREFERRED HEALTH SYSTEMS
2102518OTHERKSBLUE SHIELD
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1801837646
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES JOSEPH JR. M.D.
Provider Business Mailing Address
First Line : 10100 E SHANNON WOODS ST
Second Line : SUITE 100
City : WICHITA
State : KS
Zip : 67226-4104
Country : US
Telephone Number : 316-219-8299
Fax Number : 316-219-5899
Provider Business Practice Location Address
First Line : 10100 E SHANNON WOODS ST
Second Line : SUITE 100
City : WICHITA
State : KS
Zip : 67226-4104
Country : US
Telephone Number : 316-219-8299
Fax Number : 316-219-5899
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2006
Last Update Date : 04/05/2017

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Directions to “ JAMES JOSEPH JR. M.D.” Practice Location

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