Basic Information
| Provider Information | |||||||||
| NPI: | 1447567011 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BARTHELEMY | ||||||||
| FirstName: | JOSEPH | ||||||||
| MiddleName: | RICHARD | ||||||||
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| Credential: | M.D | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1717 S J ST | ||||||||
| Address2: | |||||||||
| City: | TACOMA | ||||||||
| State: | WA | ||||||||
| PostalCode: | 984054933 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2534266341 | ||||||||
| FaxNumber: | 2534266344 | ||||||||
| Practice Location | |||||||||
| Address1: | 1717 S J ST | ||||||||
| Address2: | |||||||||
| City: | TACOMA | ||||||||
| State: | WA | ||||||||
| PostalCode: | 984054933 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2534266341 | ||||||||
| FaxNumber: | 2534266344 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/02/2010 | ||||||||
| LastUpdateDate: | 08/31/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 08/31/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | MD60356681 | WA | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | 60356681 | WA | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | 163634 | OR | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | 036131699 | IL | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | MD.44190 | AL | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | C0811 | KY | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | D94167 | MD | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | MD26043 | ME | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | EMC0001930 | MI | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | 22388 | NH | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | 25MA10615900 | NJ | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | 39622 | OK | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | 1915-320 | WI | N | Allopathic & Osteopathic Physicians | Internal Medicine | 208M00000X | MD60356681 | WA | Y | Allopathic & Osteopathic Physicians | Hospitalist |
ID Information
| ID | Type | State | Issuer | Description | 2030436 | 05 | WA | MEDICAID |