DR. JAMES IRA JOUBERT M.D. NPI 1538259619

NPI Information

NPI: 1538259619
Provider Name: DR. JAMES IRA JOUBERT, M.D.
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Individual

Specialization: Neurology

PECOS Registration: Yes

Address:
1615 DELAWARE ST
BOX 3002
LONGVIEW, WA
ZIP 98632
Phone: (360) 414-2000
Get Directions

DR. James Ira Joubert, M.D. is a neurology psychiatry neurology in Longview, WA. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. DR. James Ira Joubert, M.D. NPI is 1538259619. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1615 DELAWARE ST
BOX 3002
LONGVIEW, WA
ZIP 98632-367
Phone: (360) 414-2000

The NPI 1538259619 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/13/2006 and was last updated on 4/9/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2083X0100X	Preventive Medicine	Occupational Medicine	MD60048714	WASHINGTON	No
2	2083X0100X	Preventive Medicine	Occupational Medicine	MD29093	OREGON	No
3	2084N0400X	Psychiatry & Neurology	Neurology	MD29093	OREGON	No
4	2084N0400X	Psychiatry & Neurology	Neurology	MD.202490	LOUISIANA	No
5	2084N0400X	Psychiatry & Neurology	Neurology	27194	SOUTH CAROLINA	No
6	2084N0400X	Psychiatry & Neurology	Neurology	MD60048714	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	P00766906	OTHER	WASHINGTON	RAILROAD MEDICARE
2	8527988	MEDICAID	WASHINGTON
3	242365	OTHER	WASHINGTON	WA STATE LABOR & INDUSTRIES
4	G8876982	MEDICARE PIN	WASHINGTON
5	026112	MEDICAID	OREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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