NPI Registry.org

Jothis C Jose

NPI Registration Record

Provider / OrganizationNPIDate Certified
JOTHIS C JOSE13061307372023-11-10

Jothis C Jose [M] graduated in 2011 and primarily specializes in Family Medicine.

Jothis C Jose is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1306130737. Registration indicates Jothis C Jose is a provider of access to adult/geriatric primary care providers services with a specialization in Allopathic & Osteopathic Physicians, Family Medicine Access to Pediatric Primary Care Providers (Allopathic & Osteopathic Physicians, Family Medicine) (Allopathic & Osteopathic Physicians, Family Medicine) (Family Medicine, ) (Primary Care/Family Planning/APRN/PA, ) (Family Medicine, Allopathic & Osteopathic Physicians)

PECOS ID6608098355
RegistrationPART-B:Y
DME:Y
HHA:Y
PMD:Y
Entity TypeIndividual
Provider Name Jothis C Jose M.D.
Practice Office Address200 E RYAN RD
OAK CREEK, WI US
Practice Office Telephone4145703590
Mailing AddressPO BOX 735044
CHICAGO, IL 606735044 US
Contact Endpoints
FHIR URL []https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Direct Messaging Address [][email protected]Direct
HPT Codes
CodePractice
License No
State
207Q00000X PRIMARYAccess to Adult/Geriatric Primary Care Providers
Allopathic & Osteopathic Physicians
Family MedicineAccess to Pediatric Primary Care Providers
Allopathic & Osteopathic Physicians
Family Medicine
Allopathic & Osteopathic Physicians
Family Medicine
Family Medicine

Primary Care/Family Planning/APRN/PA

Family Medicine
Allopathic & Osteopathic Physicians
62540
WI
OPI Codes
100040107 MEDICAID WI
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