DR. JOSEPH LOCICERO MD NPI 1629082383

NPI Information

NPI: 1629082383
Provider Name: DR. JOSEPH LOCICERO, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
251 N BAYOU ST
MOBILE, AL
ZIP 36603
Phone: (251) 690-8158
Get Directions

DR. Joseph Locicero, MD is a family medicine in Mobile, AL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Joseph Locicero, MD NPI is 1629082383. 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:

251 N BAYOU ST
MOBILE, AL
ZIP 36603-827
Phone: (251) 690-8158
Fax: (251) 544-2188

The NPI 1629082383 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 7/28/2006 and was last updated on 9/11/2013.

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	2086X0206X	Surgery	Surgical Oncology	60 241117	NEW YORK	No
2	208600000X	Surgery		60 241117	NEW YORK	No
3	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery)		60 241117	NEW YORK	No
4	207Q00000X	Family Medicine		MD 24943	ALABAMA	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	630000013	MEDICAID	ALABAMA
2	1063439065	OTHER	ALABAMA	MAIN GROUP NPI PAYEE NUMBER
3	1620055	MEDICARE ID-TYPE UNSPECIFIED	ILLINOIS
4	D89302	MEDICARE UPIN	ALABAMA
5	011846	OTHER	ALABAMA	MEDICARE GROUP PAYEE NUMBER

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: 4/28/2024

NPI Synchronization or Removal

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