Provider Demographics
NPI:1104932458
Name:KESSLER, JOSEPH J JR (MD)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:J
Last Name:KESSLER
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:6270 N RIDGE RD
Mailing Address - Street 2:MADISON FAMILY PRACTICE
Mailing Address - City:MADISON
Mailing Address - State:OH
Mailing Address - Zip Code:44057-2567
Mailing Address - Country:US
Mailing Address - Phone:800-354-1985
Mailing Address - Fax:440-350-4938
Practice Address - Street 1:6270 N RIDGE ROAD
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:OH
Practice Address - Zip Code:44057
Practice Address - Country:US
Practice Address - Phone:440-428-8222
Practice Address - Fax:440-428-8226
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2021-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-073099207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2158196Medicaid
OH2158196Medicaid
G98896Medicare UPIN