DR. JOSEPH THOMAS HUMPHREY (NPI# 1477610434) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477610434 |
| Entity Type | Individual |
| Full Name | DR. JOSEPH THOMAS HUMPHREY |
| Credential | M.D. |
| Practice Address |
3801 Spring St Mount Pleasant WI 53405-1667 |
| Practice Telephone | 2626874201 |
| Practice Fax Number | 2626874334 |
| Mailing Telephone | 2626874201 |
| Mailing Fax Number | 2626874334 |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2017-03-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 51134-20 | WI | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | 4301099122 | MI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477822039 | Joseph D Humphrey | Pharmacist | 6710 Old Polk City Rd, Lakeland, FL 33809-8300 | 2011-12-27 |
| Street Address |
3801 SPRING ST |
| City | MOUNT PLEASANT |
| State | WI |
| Zip Code | 53405-1667 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285242214 | Samantha Ashley Murray | Nurse Practitioner | 3801 Spring St, Mount Pleasant, WI 53405-1667 | 2020-07-15 |
| 1225658842 | Stephanie Kuntz | Student in an Organized Health Care Education/Training Program | 3801 Spring St, Mount Pleasant, WI 53405-1667 | 2020-04-23 |
| 1659990067 | Erica Riley | Student in an Organized Health Care Education/Training Program | 3801 Spring St, Mount Pleasant, WI 53405-1667 | 2020-04-15 |
| 1972136281 | Heather Marie Steppe | Nurse Practitioner | 3801 Spring St, Mount Pleasant, WI 53405-1667 | 2020-02-14 |
| 1083247530 | Joshua Delarosa | Physician Assistant | 3801 Spring St, Mount Pleasant, WI 53405-1667 | 2020-02-12 |
| 1720618218 | Angela Heim | Registered Nurse | 3801 Spring St, Mount Pleasant, WI 53405-1667 | 2020-01-23 |
| 1063054013 | Timothy C Skalitzky | Nurse Practitioner | 3801 Spring St, Mount Pleasant, WI 53405-1667 | 2019-10-10 |
| 1588211320 | Caitlin N Carlson | Physician Assistant | 3801 Spring St, Mount Pleasant, WI 53405-1667 | 2019-08-26 |
| 1366903361 | Robert Marsh | Nurse Anesthetist, Certified Registered | 3801 Spring St, Mount Pleasant, WI 53405-1667 | 2019-03-31 |
| 1750840880 | Jamie Frost | Nurse Practitioner | 3801 Spring St, Mount Pleasant, WI 53405-1667 | 2019-03-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609407923 | Anita Kathy Nykaza | Dietitian, Registered | 3805 A Suite 311, Racine, WI 53405 | 2020-01-27 |
| 1023666062 | Shawn L Drulia | Physician Assistant | 3805 Spring St #320, Racine, WI 53405 | 2019-09-03 |
| 1235627720 | Oxygen One, Inc. | Durable Medical Equipment & Medical Supplies | 3805a Spring Street, Suite 210, Racine, WI 53405 | 2018-04-30 |
| 1356838650 | Melissa Metzger | Psychologist | 2340 Mohr Ave, Racine, WI 53405 | 2018-04-23 |
| 1689029217 | Melissa Ileen Swainston | Nurse Practitioner | 3803 Spring St., Suite Number 410, Racine, WI 53405 | 2016-05-02 |
| 1215305487 | Denetta Lauraelaine Flowers | Licensed Practical Nurse | 4311 Durand Ave., #104, Mt.pleasant, WI 53405 | 2015-09-04 |
| 1841675204 | Colleen Koderca | Registered Nurse | 3317-meachem Rd, Racine, WI 53405 | 2015-07-28 |
| 1790102986 | Georges Wakim | Specialist/Technologist | 3811 Spring St., Suite 102, Racine, WI 53405 | 2014-03-25 |
| 1982021176 | Matthew F Patzke | Specialist/Technologist | 3811 Spring Street Suite 102, Racine, WI 53405 | 2014-03-25 |
| 1073930269 | Jessica Geisler | Specialist/Technologist | 3811 Spring Street Suite #102, Racine, WI 53405 | 2014-03-25 |
| Find all providers in zip 53405 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932480852 | Medexpress Urgent Care, PC - Pennsylvania | Emergency Medicine | 6396 State Route 819 S, Mount Pleasant, PA 15666-3670 | 2011-09-06 |
| 1134237183 | Francis X Tunney | Emergency Medicine | 3074 N Highway 17, Mount Pleasant, SC 29466-9315 | 2006-08-29 |
| 1689698920 | Steven James Taylor | Emergency Medicine | 2094 Country Manor Dr, Mount Pleasant, SC 29466-7411 | 2006-07-27 |
| 1396775466 | Michael G Manske | Emergency Medicine | 8400 Washington Ave, Mount Pleasant, WI 53406-3735 | 2006-07-04 |
| 1336179399 | Timothy Barton Osbon | Emergency Medicine | 1156 Bowman Rd Unit 103, Mount Pleasant, SC 29464-3803 | 2006-07-04 |
| 1750311999 | Gregory E Crovetti | Emergency Medicine | 7300 Washington Ave Ste B, Mount Pleasant, WI 53406-6525 | 2006-07-04 |
| 1972550283 | Scott William Smith | Emergency Medicine | 990 Lake Hunter Cir Ste 101, Mount Pleasant, SC 29464-5426 | 2006-05-30 |
| 1225094618 | Cynthia A Blalock | Emergency Medicine | 1405 Ben Sawyer Blvd Ste 105, Mount Pleasant, SC 29464-5519 | 2006-04-25 |
| 1952381469 | Ronald P Hargrave | Emergency Medicine | 2701 Tybee Pass, Mount Pleasant, SC 29466-7956 | 2006-01-19 |
| 1720071277 | Sonny Yong Park | Emergency Medicine | 1988 Kings Gate Ln, Mount Pleasant, SC 29466-8191 | 2005-08-30 |
| Find all providers in MOUNT PLEASANT | ||||
| City | MOUNT PLEASANT |
| Zip Code | 53405 |
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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.