Basic Information
Provider Information | |||||||||
NPI: | 1891764692 | ||||||||
EntityType: | 1 | ||||||||
ReplacementNPI: |   | ||||||||
OrganizationName: |   | ||||||||
LastName: | POSNER | ||||||||
FirstName: | JOEL | ||||||||
MiddleName: |   | ||||||||
NamePrefix: | DR. | ||||||||
NameSuffix: |   | ||||||||
Credential: | MD | ||||||||
OtherOrganizationName: |   | ||||||||
OtherOrganizationType: |   | ||||||||
OtherLastName: |   | ||||||||
OtherFirstName: |   | ||||||||
OtherMiddleName: |   | ||||||||
OtherNamePrefix: |   | ||||||||
OtherNameSuffix: |   | ||||||||
OtherCredential: |   | ||||||||
OtherLastNameType: |   | ||||||||
Mailing Information | |||||||||
Address1: | 813 MAIDEN CHOICE LN | ||||||||
Address2: |   | ||||||||
City: | CATONSVILLE | ||||||||
State: | MD | ||||||||
PostalCode: | 212283679 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 4104022257 | ||||||||
FaxNumber: | 4104022264 | ||||||||
Practice Location | |||||||||
Address1: | 100 MARIS GROVE WAY | ||||||||
Address2: |   | ||||||||
City: | GLEN MILLS | ||||||||
State: | PA | ||||||||
PostalCode: | 193421282 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 6103874520 | ||||||||
FaxNumber: | 6103874526 | ||||||||
Other Information | |||||||||
ProviderEnumerationDate: | 03/15/2006 | ||||||||
LastUpdateDate: | 02/17/2016 | ||||||||
NPIDeactivationReasonCode: |   | ||||||||
NPIDeactivationDate: |   | ||||||||
NPIReactivationDate: |   | ||||||||
ProviderGenderCode: | M | ||||||||
AuthorizedOfficialLastName: |   | ||||||||
AuthorizedOfficialFirstName: |   | ||||||||
AuthorizedOfficialMiddleName: |   | ||||||||
AuthorizedOfficialTitleorPosition: |   | ||||||||
AuthorizedOfficialTelephone: |   | ||||||||
IsSoleProprietor: | N | ||||||||
IsOrganizationSubpart: |   | ||||||||
ParentOrganizationLBN: |   | ||||||||
AuthorizedOfficialNamePrefix: |   | ||||||||
AuthorizedOfficialNameSuffix: |   | ||||||||
AuthorizedOfficialCredential: |   | ||||||||
NPICertificationDate: |   |
Taxonomy Information
Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RG0300X | 238260 | NY | N |   | Allopathic & Osteopathic Physicians | Internal Medicine | Geriatric Medicine | 207RP1001X | 238260 | NY | N |   | Allopathic & Osteopathic Physicians | Internal Medicine | Pulmonary Disease | 207R00000X | MD016138E | PA | Y |   | Allopathic & Osteopathic Physicians | Internal Medicine |   |
ID Information
ID | Type | State | Issuer | Description | 04-76191 | 01 |   | EVERCARE | OTHER | 158648 | 01 |   | BCBS OF PA (HIGHMARK) | OTHER | 611455212001 | 01 |   | TRICARE | OTHER | 0061648000 | 01 |   | KEYSTONE BCBS | OTHER |