MEDICARE: DR. JOHN T JOSEPH 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
1	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	MD421555	PA
2	207RS0012X	Sleep Medicine (Internal Medicine) Physician	MD421555	PA
3	207RP1001X	Pulmonary Disease Physician	MD421555	PA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	P00324584	OTHER	PA	RAILROAD MEDICARE

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	1610122	OTHER	PA	BLUE SHIELD

General Provider Information

NPI Number	:	1992758627
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN T JOSEPH M.D.

Provider Business Mailing Address
First Line	:	3421 CONCORD RD
Second Line	:
City	:	YORK
State	:	PA
Zip	:	17402-9001
Country	:	US
Telephone Number	:	717-738-4334
Fax Number	:	717-738-3289

Provider Business Practice Location Address
First Line	:	446 N READING RD
Second Line	:
City	:	EPHRATA
State	:	PA
Zip	:	17522-9802
Country	:	US
Telephone Number	:	717-738-4334
Fax Number	:	717-438-3289

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

Provider Enumeration Date	:	05/17/2006
Last Update Date	:	08/05/2021

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Directions to “ DR. JOHN T JOSEPH M.D.” Practice Location

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