MR. ANDRE C JOSEPH JR. (NPI# 1396816005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396816005 |
Entity Type | Individual |
Full Name | MR. ANDRE C JOSEPH JR. |
Credential | MD |
Practice Address |
1708 S Yakima Ave Suite #40 Tacoma WA 98405 |
Practice Telephone | 2534755982 |
Practice Fax Number | 2534757662 |
Mailing Telephone | 2534755982 |
Mailing Fax Number | 2534757662 |
Enumeration Date | 2006-11-13 |
Last Update Date | 2010-07-12 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208600000X | Surgery | MD00028422 | WA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | 1103969 | 05 |
Street Address |
1708 S YAKIMA AVE SUITE #40 |
City | TACOMA |
State | WA |
Zip Code | 98405 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124065321 | Thomas J Martin | Internal Medicine | 1708 S Yakima Ave, Suite 107, Tacoma, WA 98405 | 2006-05-31 |
1245601079 | Scott Parsons | Student in an Organized Health Care Education/Training Program | 1708 S Yakima Ave, Ste 201, Tacoma, WA 98405 | 2015-10-20 |
1598970675 | Paul Michael Scott | Podiatrist | 1708 S Yakima Ave, Ste 110, Tacoma, WA 98405-5300 | 2007-05-11 |
1104868462 | Axis Nephrology Pllc | Internal Medicine | 1708 S Yakima Ave, Suite 107, Tacoma, WA 98405 | 2006-06-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609486026 | Joanna Christine Hope | Physician Assistant | 2502 S Union Avenue, Tacoma, WA 98405 | 2020-08-01 |
1467077891 | Richard Jimenez | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way Suite #310, Tacoma, WA 98405 | 2020-06-11 |
1669008785 | Mariana Sanchez Corona | Behavior Technician | 1901 S Union Ave Allenmore Building B, Tacoma, WA 98405 | 2020-03-20 |
1811534845 | Jasmine Gregory | Social Worker | 311 Martin Luther King Jr. Way, Ms:315-c2-php, Tacoma, WA 98405 | 2019-12-10 |
1548807506 | Holly Rebecca Brezynski | Student in an Organized Health Care Education/Training Program | Fresenius Kindney Care - Home Therapies Department, 1717 South J Street, Tacoma, WA 98405 | 2019-12-09 |
1972064392 | Logan Brau | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way, Tacoma, WA 98405 | 2019-03-28 |
1629532536 | Preferred Orthotic and Prosthetic Services Inc | Prosthetic/Orthotic Supplier | 1708 Yakima Ave Ste 60, Tacoma, WA 98405 | 2019-01-24 |
1669945911 | Heidi Weakley | Counselor | 1001 S Yakima Ave, Suite 5, Tacoma, WA 98405 | 2019-01-09 |
1972074011 | Taviance Benet Laster | Behavior Technician | 1416 S 9th St, Tacoma, WA 98405 | 2018-12-16 |
1336618040 | Bailey Bangerter | Physician Assistant | 1901 South Union, A-233, Tacoma, WA 98405 | 2018-11-26 |
Find all providers in zip 98405 |
Taxonomy Code | 208600000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457884090 | Michael Edward Parsons | Surgery | 9040 Jackson Ave Attn: Department of Surgery, Tacoma, WA 98431-0001 | 2017-04-11 |
1811230204 | Ashwini S Poola | Surgery | 820 A St, Tacoma, WA 98402-5202 | 2013-04-03 |
1841504271 | Meade Barlow | Surgery | 311 South L St, Ms: 311-w2-sur, Tacoma, WA 98415 | 2010-07-27 |
1376700757 | Daniel Elroy Mumme | Surgery | 314 Martin Luther King Jr Way Ste 202, Tacoma, WA 98405-4271 | 2008-05-22 |
1245416221 | C. Stevens Hammer, M.d. Inc Ps | Surgery | 4116 N 39th St, Tacoma, WA 98407-5717 | 2008-01-21 |
1497952691 | Seth Leland Miller | Surgery | Madigan Army Medical Center Attn Mchj-edme, 9040 Reid Street, Tacoma, WA 98431-1100 | 2007-06-29 |
1184829897 | Linda Christine Benavides | Surgery | 9040 Jackson Ave Department of General Surgery, Tacoma, WA 98431-1109 | 2007-06-20 |
1619004918 | James Alton Sebesta | Surgery | 2202 S Cedar St Ste 300, Tacoma, WA 98405-2318 | 2007-02-27 |
1346394574 | William Ernest Eggebroten | Surgery | 9040 Jackson Ave Department of Surgery, Tacoma, WA 98431-0001 | 2007-01-23 |
1730232968 | Preston Leroy Carter | Surgery | 5000 Fitzsimmons Dr, Madigan Army Medical Center, Tacoma, WA 98431-0001 | 2007-01-19 |
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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.